Organization Active NPI

Trident Health Care Group

  • Nurse's Aide
  • Clermont, FL
National Provider Identifier
1831918069
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
TRIDENT HEALTH CARE GROUP
Practice address
1100 US Highway 27 Unit 137642
Clermont, FL 34713-4107
Phone
(539) 235-6684
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Lakeyah Monique Starks, CNA/MA
Title
Cargiver
Phone
(313) 929-9747

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X Primary
Respite Care 385H00000X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

1100 US Highway 27 Unit 137642
Clermont, FL 34713-4107

Mailing address

PO Box 137642
Clermont, FL 34713-7642
Phone (313) 926-9747

National Provider Directory

National Provider Directory

Locations

1100 US Highway 27
Unit 137642
Clermont, FL 34713
Phone (539) 235-6684

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1831918069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 137642",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347137642",
            "telephone_number": "313-926-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 US HIGHWAY 27 UNIT 137642",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347134107",
            "telephone_number": "539-235-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT HEALTH CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "LAKEYAH",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CARGIVER",
        "authorized_official_telephone_number": "313-929-9747",
        "authorized_official_credential": "CNA/MA"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.