Active NPI
Trinity Home Service LLC
- Attendant Care Provider
- Lakeland, FL
National Provider Identifier
1649648965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- TRINITY HOME SERVICE LLC
- Practice address
- 2930 Oak Tree LN
Lakeland, FL 33810-2655 - Phone
- (863) 709-6569
- NPI assigned
- Sep 2, 2015
- 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. Ilene Shumaker Griffin
- Title
- Owner/Operator
- Phone
- (863) 709-6569
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010431700 | FL | |
| In Home Supportive Care Agency | 253Z00000X | |||
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
2930 Oak Tree LN
Lakeland, FL 33810-2655
Mailing address
2930 Oak Tree LN
Lakeland, FL 33810-2655
Phone (863) 709-6569
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010431700 | Medicaid | FL | |
| 102131600 | Medicaid | FL | |
| 105452 | Other | FL | CNA |
National Provider Directory
National Provider Directory- Tax ID family
- Trinity Home Service LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Lakeland, FL
- NPI 1447919972
-
- Developmentally Disabled Services Day Training Agency
- Lakeland, FL
- NPI 1740959964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1649648965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 OAK TREE LN",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338102655",
"telephone_number": "863-709-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 OAK TREE LN",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338102655",
"telephone_number": "863-709-6569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY HOME SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-02",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "ILENE",
"authorized_official_middle_name": "SHUMAKER",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "863-709-6569",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "010431700",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010431700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102131600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNA",
"identifier": "105452",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.