Organization Active NPI

Trinity Guardians Caregivers LLC

  • In Home Supportive Care Agency
  • Avondale, AZ
National Provider Identifier
1740837301
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TRINITY GUARDIANS CAREGIVERS LLC
Practice address
11120 W Van Buren St
Avondale, AZ 85323-7284
Phone
(310) 686-3936
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Ms. Mabel Tih
Title
Administrator/Owner
Phone
(310) 686-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

11120 W Van Buren St
Avondale, AZ 85323-7284

Mailing address

11120 W Van Buren St Apt 2153
Avondale, AZ 85323-7272
Phone (310) 686-3936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1740837301",
    "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",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853237284",
            "telephone_number": "310-686-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY GUARDIANS CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "TIH",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "310-686-3936",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Dec 30, 2019; 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.