Organization Active NPI

Trinity Living Provider Services LLC

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1629629605
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRINITY LIVING PROVIDER SERVICES LLC
Practice address
12677 Hiram Clarke Rd
Houston, TX 77045-2218
Phone
(832) 591-6836
NPI assigned
Sep 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Mrs. Charlene Lee Okendu, ADMINISTRATORNPI 1881255867
Title
Manager
Phone
(832) 368-0946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12677 Hiram Clarke Rd
Houston, TX 77045-2218

Mailing address

PO Box 450133
Houston, TX 77245-0133
Phone (832) 368-0946

Other identifiers 1

IdentifierTypeStateIssuer
1881255867MedicaidTX

National Provider Directory

National Provider Directory

Locations

12677 Hiram Clarke Rd
Houston, TX 77045
Phone (832) 591-6836

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1629629605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772450133",
            "telephone_number": "832-368-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HIRAM CLARKE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770452218",
            "telephone_number": "832-591-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY LIVING PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-22",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "OKENDU",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-368-0946",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881255867",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.