Active NPI
Trifinity Hospice
- Community Based Hospice Care Agency
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
- Ownership
- For-Profit
- Certified
- May 18, 2022
- Medicare certification status
- Active
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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2325492 | Trifinity Hospice Inc | Certificate of waiver | Jun 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.