Active NPI
Trinity Development Center
- Adult Day Care Clinic/Center
- Fresno, CA
National Provider Identifier
1598066169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Fresno, CA
- NPI 1093016115
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
- Hung Chan Trinh, PHARMD
- Guadalupe Trinidad
- Marissa Trinidad
- Nishea Trinidad
- Trinity Development Center
- Trinity Home Health Services (Saint Agnes Home Health and Hospice, LLC)
- Trinity Home Health Services (Saint Agnes Home Health and Hospice, LLC.)
- Trinity Wellness & Chiropractic
- Jennifer Tripp
- Ashley Trippel
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.