Active NPI
Trinity's House
- Mental Illness Community Based Residential Treatment Facility
- Tucson, AZ
National Provider Identifier
1679180517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- TRINITY'S HOUSE
- Practice address
- 6692 E Via Boca Chica
Tucson, AZ 85756-8309 - Phone
- (520) 820-7330
- Fax
- (520) 721-0069
- NPI assigned
- Sep 24, 2020
- Last updated
- Oct 8, 2020
- 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
- Michelle Lee Keller
- Title
- Administrator
- Phone
- (520) 721-1887
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | NU | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
6692 E Via Boca Chica
Tucson, AZ 85756-8309
Mailing address
PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH6403 | Other | AZ | BUREAU OF RESIDENTIAL FACILITIES LICENSING |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602115200000",
"number": "1679180517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86537",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857546537",
"telephone_number": "520-721-1887",
"fax_number": "520-721-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6692 E VIA BOCA CHICA",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857568309",
"telephone_number": "520-820-7330",
"fax_number": "520-721-0069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY'S HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-24",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "520-721-1887"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF RESIDENTIAL FACILITIES LICENSING",
"identifier": "BH6403",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.