Organization Active NPI

Trifinity Hospice

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1790376341
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRIFINITY HOSPICE
Practice address
11811 N Tatum Blvd Ste 54
Phoenix, AZ 85028-1614
Phone
(818) 470-6457
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Paul Martinez
Title
Manager
Phone
(818) 470-6457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

11811 N Tatum Blvd Ste 54
Phoenix, AZ 85028-1614

Mailing address

11811 N Tatum Blvd Ste 54
Phoenix, AZ 85028-1614

Care Compare: Hospice

Medicare Care Compare
Listed as
Trifinity Hospice IncCCN 031798
Ownership
For-Profit
Certified
May 18, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2325492Trifinity Hospice Inc11811 N Tatum Blvd Ste 3031 RM 54, Phoenix, AZ 85028Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

Locations

11811 N Tatum Blvd
Ste 54
Phoenix, AZ 85028
Phone (818) 470-6457

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1790376341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD STE 54",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD STE 54",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281614",
            "telephone_number": "818-470-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIFINITY HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-470-6457"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.