Trinity III Family Outreach

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRINITY III FAMILY OUTREACH

Practice address

108 Spruance Rd
Dover, DE 19901-4051

Phone

(804) 931-8910

Fax

(804) 931-8910

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Cary Richard Fox, B.S

Title

President

Phone

(804) 931-8910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity111 Former legal business name

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1508005885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LITTLE GLOUCESTER RD APT F2",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123445",
            "telephone_number": "804-931-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SPRUANCE RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014051",
            "telephone_number": "804-931-8910",
            "fax_number": "804-931-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY III FAMILY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-931-8910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301206",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity111",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tranquil Moments LLC
• Charlene T Trasser, LCSW
• Amber Monet Travies
• Tri State MRI & Imaging LLC
• Raymond Harrel Tribble, LMSW
• Tristate Tesla Imaging LLC
• Alton A Trott, D.O.
• Edward Ashley Trott, MD
• Mary Katherine Troyer, RN
• Johanna Marie Truax

• Community/Behavioral Health Agency in Dover, DE
• Providers in Dover, DE by specialty
• Community/Behavioral Health Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.