Trinity Life Assisted Living, Inc

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

M1313 Issued in LA

Legal business name

TRINITY LIFE ASSISTED LIVING, INC

Practice address

18158 Judy Dr
Prairieville, LA 70769-3396

Phone

(225) 673-9740

Fax

(225) 677-7804

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

Irshondra Travis

Title

Administrator

Phone

(225) 931-9301

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1497997548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18158 JUDY DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693396",
            "telephone_number": "225-673-9740",
            "fax_number": "225-677-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18158 JUDY DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693396",
            "telephone_number": "225-673-9740",
            "fax_number": "225-677-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY LIFE ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "IRSHONDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-931-9301"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "LA",
            "license": "M1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse's Aide in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Nurse's Aide in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.