Organization Active NPI

Trinity Healthcare, Inc.

  • Home Health Agency
  • Rochester, IN
National Provider Identifier
1700053121
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRINITY HEALTHCARE, INC.
Practice address
114 E 10TH St
Rochester, IN 46975-1747
Phone
(574) 223-4663
Fax
(574) 223-1663
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Kenneth L Fabugais, P.T.
Title
Owner / President
Phone
(574) 223-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

114 E 10TH St
Rochester, IN 46975-1747

Mailing address

114 E 10TH St
Rochester, IN 46975-1747
Phone (574) 223-4663

Other identifiers 2

IdentifierTypeStateIssuer
15Q7607001OtherINVALPARAISO, IN BRANCH MEDICARE #
200926460AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1700053121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 10TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751747",
            "telephone_number": "574-223-4663",
            "fax_number": "574-223-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 10TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751747",
            "telephone_number": "574-223-4663",
            "fax_number": "574-223-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "FABUGAIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "574-223-4663",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALPARAISO, IN BRANCH MEDICARE #",
            "identifier": "15Q7607001",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200926460A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.