Trinity Home Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

ALTP0136 Issued in AZ

Legal business name

TRINITY HOME CARE AGENCY

Practice address

1420 W Peoria Ave
Suite 213
Phoenix, AZ 85029-5170

Phone

(480) 245-8698

Fax

(602) 943-4972

NPI assigned

Nov 23, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Valetta G Campbell, CERTIFIED CARE GIVER

Title

Owner/Exective

Phone

(480) 245-8698

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity home care agency Doing business as

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1740557404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W PEORIA AVE",
            "address_2": "SUITE 213",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295170",
            "telephone_number": "480-245-8698",
            "fax_number": "602-943-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W PEORIA AVE",
            "address_2": "SUITE 213",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295170",
            "telephone_number": "480-245-8698",
            "fax_number": "602-943-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "VALETTA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/EXECTIVE",
        "authorized_official_telephone_number": "480-245-8698",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFIED CARE GIVER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "ALTP0136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON -MEDICAL PROVIDER",
            "identifier": "24",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity home care agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinity Behvaioral Facility LLC
• Trinity Caregiving Services
• Trinity Community Care, LLC
• Trinity Force LLC
• Trinity Home Care
• Trinity Hospice of Phoenix, LLC
• Trinity Integrated Care
• Trinity Integrated Care
• Trinity Integrated Healthcare
• Trinity Integrated Healthcare

• In Home Supportive Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.