Organization Active NPI

Trinity Development Center

  • Adult Day Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1598066169
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
TRINITY DEVELOPMENT CENTER
Practice address
1568 N Millbrook Ave
Fresno, CA 93703-4149
Phone
(559) 412-8996
Fax
(559) 840-1714
NPI assigned
Nov 12, 2010
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Mysti Medina
Title
Ceo
Phone
(559) 321-1870

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 107202360 CA
Developmentally Disabled Services Day Training Agency 251C00000X 107202360 CA
Voluntary or Charitable Agency 251V00000X 107202360 CA
Adult Day Care Clinic/Center 261QA0600X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU
Community/Behavioral Health Agency 251S00000X 107202360 CA

Addresses

Primary practice location

1568 N Millbrook Ave
Fresno, CA 93703-4149

Mailing address

1568 N Millbrook Ave
Fresno, CA 93703-4149
Phone (559) 412-8996

National Provider Directory

National Provider Directory
Tax ID family
Trinity Development Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1598066169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937034149",
            "telephone_number": "559-412-8996",
            "fax_number": "559-840-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937034149",
            "telephone_number": "559-412-8996",
            "fax_number": "559-840-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MYSTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-321-1870"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "107202360",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "107202360",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "107202360",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "107202360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.