Trinity Icf/Mr, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

007404 Issued in TX

Legal business name

TRINITY ICF/MR, INC.

Practice address

2813 Country Valley Rd
Garland, TX 75043-1121

Phone

(972) 202-9700

Fax

(972) 202-9703

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alton G. Spears

Title

Vice Pres.

Phone

(972) 202-9700

Specialties & licenses 1

Addresses

Other names 1

• Trinity Manor Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G934

Legal name

TRINITY MANOR

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

May 12, 1992

Last certification

Feb 13, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

2813 Country Valley Rd
Garland, TX 75043

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1790975357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 COUNTRY VALLEY RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431121",
            "telephone_number": "972-202-9700",
            "fax_number": "972-202-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 COUNTRY VALLEY RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431121",
            "telephone_number": "972-202-9700",
            "fax_number": "972-202-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ICF/MR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "ALTON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "VICE PRES.",
        "authorized_official_telephone_number": "972-202-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "007404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael J Trombello, MD
• Trostel OBGYN & Associates PA
• Steven Glen Trostel, MD
• Colton Troutman, DC

• Intellectual Disabilities Intermediate Care Facility in Garland, TX
• Providers in Garland, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.