Holy Trinity Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HOLY TRINITY HOME

Practice address

3845 S Morganfield Ave
West Covina, CA 91792-3238

Phone

(999) 444-5796

Fax

(909) 612-7675

NPI assigned

Mar 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lydia Sison Sebastian, RN

Title

Owner/QMRP

Phone

(909) 444-5796

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1689998544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 S MORGANFIELD AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923238",
            "telephone_number": "999-444-5796",
            "fax_number": "909-612-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 S MORGANFIELD AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923238",
            "telephone_number": "999-444-5796",
            "fax_number": "909-612-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY TRINITY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "SISON",
        "authorized_official_title_or_position": "OWNER/QMRP",
        "authorized_official_telephone_number": "909-444-5796",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Holguin
• James Paul Holland, MD
• Cynthia Marie Holmes, M.A.
• Lisa Marie Holmes
• Danica Carmel Holt, M.D.
• Homan Hanasab Dental Corporation
• Home Care MD Medical Group
• Home Choice Renal Care Inc.
• Homes of Hope
• Honeycomb Medical Services, a Med Corp

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in West Covina, CA
• Providers in West Covina, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.