Active NPI
Trinity Living Provider Services LLC
- Home Health Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Charlene Lee Okendu, ADMINISTRATOR
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881255867 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Houston, TX
- NPI 1225808686
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Katy, TX
- NPI 1881255867
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.