Active NPI
Trinity Guardians Home Health Care LLC
- Home Health Agency
- Avondale, AZ
National Provider Identifier
1700498375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TRINITY GUARDIANS HOME HEALTH CARE LLC
- Practice address
- 11120 W. Van Buren St #2153
Avondale, AZ 85323-8532 - Phone
- (310) 686-3936
- NPI assigned
- Aug 17, 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
- Miss Mabel Nganu Tih, LNA
- Title
- Owner/Manage
- Phone
- (310) 686-3936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11120 W. Van Buren St #2153
Avondale, AZ 85323-8532
Mailing address
11120 W Van Buren St Apt 2153
Avondale, AZ 85323-7272
Phone (310) 686-3936
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597622400000",
"number": "1700498375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 W VAN BUREN ST APT 2153",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853237272",
"telephone_number": "310-686-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 W. VAN BUREN ST #2153",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853238532",
"telephone_number": "310-686-3936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY GUARDIANS HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A",
"authorized_official_last_name": "TIH",
"authorized_official_first_name": "MABEL",
"authorized_official_middle_name": "NGANU",
"authorized_official_title_or_position": "OWNER/MANAGE",
"authorized_official_telephone_number": "310-686-3936",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LNA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.