NPIMap

Organization Active NPI

Trinity Care Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cheyenne, WY
National Provider Identifier
1588900310
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
132080700 Issued in WY
Legal business name
TRINITY CARE SERVICES
Practice address
1603 Capitol Ave
Suite 510
Cheyenne, WY 82001-4569
Phone
(307) 635-2888
NPI assigned
Dec 26, 2012
Last updated
Dec 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Mrs. Brenna Edward
Title
Coordinator
Phone
(307) 275-2639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 132080700 WY Primary

Addresses

Primary practice location

1603 Capitol Ave
Suite 510
Cheyenne, WY 82001-4569

Mailing address

1603 Capitol Ave
Suite 510
Cheyenne, WY 82001-4569
Phone (307) 275-2639

Other identifiers 1

IdentifierTypeStateIssuer
132080700MedicaidWY

National Provider Directory

National Provider Directory

Locations

1603 Capitol Ave
Ste 510
Cheyenne, WY 82001
Phone (307) 275-2639

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1588900310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 CAPITOL AVE",
            "address_2": "SUITE 510",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014569",
            "telephone_number": "307-275-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 CAPITOL AVE",
            "address_2": "SUITE 510",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014569",
            "telephone_number": "307-635-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "EDWARD",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "307-275-2639",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WY",
            "license": "132080700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132080700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.