Trinity Manor Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-036-028 Issued in NC

Legal business name

TRINITY MANOR ASSISTED LIVING HOME

Practice address

705 S Weldon St
Gastonia, NC 28052-3967

Phone

(704) 866-9415

Fax

(704) 866-9416

NPI assigned

Oct 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Barbara Surratt

Title

Owner/Administrator

Phone

(704) 866-9415

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1497080279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S WELDON ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280523967",
            "telephone_number": "704-866-9415",
            "fax_number": "704-866-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S WELDON ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280523967",
            "telephone_number": "704-866-9415",
            "fax_number": "704-866-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MANOR ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "SURRATT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "704-866-9415",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-036-028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Treece, LCMHC
• Bruce Trefz, DDS, MS, MS
• Christie F Trenery, FNP, DNP
• Andrew Tudor Trifan, MD
• Mayra Guadalupe Trinidad-Vega
• Vaidehi Mahesh Trivedi, M.D.
• Jeanne Elise Lemieux Trompeter, MPSY, PSYD
• Kenisha Ann Trought, MSW
• Breona Troutman
• Tru3 Light Center

• Assisted Living Facility in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.