Active NPI
Trinity Visiting Nurse and Homecare Association
Doing business as Trinity Pathway Hospice
- Community Based Hospice Care Agency
- Bettendorf, IA
National Provider Identifier
1700800455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TRINITY VISITING NURSE AND HOMECARE ASSOCIATION
- Doing business as
- Trinity Pathway Hospice
- Practice address
- 4500 Utica Ridge Road
Bettendorf, IA 52722 - Phone
- (563) 742-4700
- Fax
- (563) 742-4705
- NPI assigned
- Jul 26, 2006
- Last updated
- Dec 21, 2010
- 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
- Mr. Todd J Richard, PT
- Title
- Executive Director
- Phone
- (309) 779-7242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
4500 Utica Ridge Road
Bettendorf, IA 52722
Mailing address
106 19 Avenue
Suite 101
Moline, IL 61265
Phone (309) 779-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0610204 | Medicaid | IA |
Other names 1
- Trinity Pathway Hospice
National Provider Directory
National Provider DirectoryLocations
500 42nd St
Ste 8
Rock Island, IL 61201
Phone (309) 779-7600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1700800455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 19 AVENUE",
"address_2": "SUITE 101",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-779-7600",
"fax_number": "309-779-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 UTICA RIDGE ROAD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "52722",
"telephone_number": "563-742-4700",
"fax_number": "563-742-4705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY VISITING NURSE AND HOMECARE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "309-779-7242",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0610204",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Pathway Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bettendorf, IA
- Kathryn Debra Trevor, LPN
- Trinity Medical Center (Trinity Bettendorf)
- Trinity Medical Center (Trinity Bettendorf Lab)
- Trinity Medical Center (Trinity at Terrace Park Ambulance)
- Trinity Regional Health System (Trinity Medical Center-Terrace Park)
- Danny Trip, LMSW
- Andrea Triplett, RPH
- John Tryon, PA-C
- Ryan Andrew Tulon, L.AC.
- Freda Tyson, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.