Active NPI
Trinity Mountain Health
Doing business as Trinity Home Care and Resource
- Home Health Agency
- Boise, ID
National Provider Identifier
1790470490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.