NPIMap

Organization Active NPI

Trinity Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lockport, IL
National Provider Identifier
1609834191
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRINITY SERVICES INC.
Practice address
18100 W Oak Ave
Lockport, IL 60441-6125
Phone
(815) 723-4894
Fax
(815) 485-5975
NPI assigned
May 3, 2006
Organization subpart
Yes
Parent organization
TRINITY SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Bob Taylor
Title
Cfo
Phone
(815) 320-7190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

18100 W Oak Ave
Lockport, IL 60441-6125

Mailing address

301 Veterans Parkway
New Lenox, IL 60451-2899
Phone (815) 485-6197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000827 IL Part B Supplier - Clinic/Group Practice 8527060466 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orland Park, IL; New Lenox, IL; Joliet, IL; Homewood, IL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Trinity Services Inc

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1609834191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VETERANS PARKWAY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512899",
            "telephone_number": "815-485-6197",
            "fax_number": "815-485-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 W OAK AVE",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604416125",
            "telephone_number": "815-723-4894",
            "fax_number": "815-485-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY SERVICES INC.",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-320-7190"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.