Trinity III Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-023-088 Issued in NC

Legal business name

TRINITY III INC.

Practice address

214 North Morgan Street
Shelby, NC 28150

Phone

(704) 482-0901

Fax

(704) 482-2081

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gwendolyn Fox

Title

President

Phone

(704) 482-0901

Specialties & licenses 3

Addresses

Other identifiers 3

Tax ID family

Trinity III Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Trinity III Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Shelby, NC
  • NPI 1003064932
  NPD tax ID
• Trinity III Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Shelby, NC
  • NPI 1609022144
  NPD tax ID
• Trinity III, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Shelby, NC
  • NPI 1194968628
  NPD tax ID
• Trinity III, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Shelby, NC
  • NPI 1245495621
  NPD tax ID
• Trinity III, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Shelby, NC
  • NPI 1386887693
  NPD tax ID
• Trinity III, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Shelby, NC
  • NPI 1447315833
  NPD tax ID
• Trinity III, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Shelby, NC
  • NPI 1922241454
  NPD tax ID

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497819668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N MORGAN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504431",
            "telephone_number": "704-482-0901",
            "fax_number": "704-482-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 NORTH MORGAN STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-482-0901",
            "fax_number": "704-482-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY III INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-482-0901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-023-043",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-023-088",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-023-097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603223",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603222",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603999",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Trice
• Jessica Lee Trierweiler, MS, CCC-SLP
• Mark Trimble
• Trinity III Inc
• Trinity III Inc
• Trinity III, Inc
• Trinity III, Inc.
• Trinity III, Inc.
• Trinity III, Inc.
• Trinity III, Inc.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shelby, NC
• Providers in Shelby, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.