Trinitas Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TRINITAS HOSPICE CARE LLC

Doing business as

Trinitas Hospice Care

Practice address

5230 Clark Ave Ste 1
Lakewood, CA 90712-2653

Phone

(562) 219-5834

Fax

(562) 219-5834

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Quibal, RN

Title

Vice President

Phone

(562) 219-5834

Specialties & licenses 1

Addresses

Other names 1

• Trinitas Hospice Care Doing business as

Electronic endpoints 1

Listed as

Trinitas Hospice Care LLCCCN B51729

Certified

Dec 23, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1639761273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 CLARK AVE STE 1",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122653",
            "telephone_number": "562-219-5834",
            "fax_number": "562-219-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CLARK AVE STE 1",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122653",
            "telephone_number": "562-219-5834",
            "fax_number": "562-219-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITAS HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "QUIBAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "562-219-5834",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lakewood",
            "affiliation": "N",
            "endpointDescription": "Hospice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5230 Clark Ave Ste 1",
            "city": "Lakewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907122653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinitas Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.