NPIMap

Organization Active NPI

Trinity Home Service LLC

  • Developmentally Disabled Services Day Training Agency
  • Lakeland, FL
National Provider Identifier
1740959964
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TRINITY HOME SERVICE LLC
Practice address
2930 Oak Tree LN
Lakeland, FL 33810-2655
Phone
(863) 709-6569
Fax
(863) 337-6292
NPI assigned
Sep 10, 2021
Organization subpart
Yes
Parent organization
TRINITY HOME SERVICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Ilene Shumaker Griffin
Title
Administrator
Phone
(863) 709-6569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2930 Oak Tree LN
Lakeland, FL 33810-2655

Mailing address

2930 Oak Tree LN
Lakeland, FL 33810-2655
Phone (863) 709-6569

Other names 1

  • Trinity Home Service LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trinity Home Service LLC3 organizations share this tax ID, including this one
Part of
Trinity Home Service LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1740959964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 OAK TREE LN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102655",
            "telephone_number": "863-709-6569",
            "fax_number": "863-337-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 OAK TREE LN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102655",
            "telephone_number": "863-709-6569",
            "fax_number": "863-337-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOME SERVICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HOME SERVICE LLC",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "ILENE",
        "authorized_official_middle_name": "SHUMAKER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-709-6569"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Home Service LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.