Organization Active NPI

Trinity Mountain Health

Doing business as Trinity Home Care and Resource

  • Home Health Agency
  • Boise, ID
National Provider Identifier
1790470490
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRINITY MOUNTAIN HEALTH
Doing business as
Trinity Home Care and Resource
Practice address
6154 N Meeker PL Ste 150
Boise, ID 83713-0211
Phone
(208) 705-0879
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Marin Kirstin Lackey
Title
Manager
Phone
(208) 705-0879

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Transportation Broker 347E00000X

Addresses

Primary practice location

6154 N Meeker PL Ste 150
Boise, ID 83713-0211

Mailing address

440 Callaway Dr
Chubbuck, ID 83202-5079
Phone (208) 705-0879

Other practice location 1

675 Jefferson Ave Ste 3
Pocatello, ID 83201-3729
Phone (208) 938-1760

Other practice location 2

106 E Park St Ste 106
McCall, ID 83638-5064
Phone (208) 705-0879

Other names 1

  • Trinity Home Care and Resource Doing business as

National Provider Directory

National Provider Directory

Locations

6154 N Meeker Pl
Ste 150
Boise, ID 83713
Phone (208) 705-0879

106 E Park St
Ste 106
McCall, ID 83638
Phone (208) 705-0879

675 Jefferson Ave
Ste 3
Pocatello, ID 83201
Phone (208) 938-1760

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1790470490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CALLAWAY DR",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025079",
            "telephone_number": "208-705-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6154 N MEEKER PL STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130211",
            "telephone_number": "208-705-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Jefferson Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832013729",
            "country_code": "US",
            "telephone_number": "208-938-1760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 E Park St Ste 106",
            "address_purpose": "LOCATION",
            "city": "McCall",
            "state": "ID",
            "postal_code": "836385064",
            "country_code": "US",
            "telephone_number": "208-705-0879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY MOUNTAIN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "MARIN",
        "authorized_official_middle_name": "KIRSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-705-0879"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Home Care and Resource",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.