Active NPI
Trident Health Care Group
- Nurse's Aide
- Clermont, FL
National Provider Identifier
1831918069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Nurse's Aide | 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 DirectoryLocations
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.