Active NPI
Trinitycare LLC
- Home Health Agency
- Monterey Park, CA
National Provider Identifier
1851425409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980000632
- Legal business name
- TRINITYCARE LLC
- Practice address
- 1000 Corporate Center Drive
Suite 110
Monterey Park, CA 91754-9906 - Phone
- (323) 981-4488
- Fax
- (323) 981-4499
- NPI assigned
- Mar 15, 2007
- Organization subpart
- Yes
- Parent organization
- TRINITYCARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah Rogers, RN, BSN, PHN
- Title
- Administrator/DPCS
- Phone
- (323) 981-4488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980000632 | CA | Primary |
Addresses
Primary practice location
1000 Corporate Center Drive
Suite 110
Monterey Park, CA 91754-9906
Mailing address
1000 Corporate Center Drive
Suite 110
Monterey Park, CA 91754-9906
Phone (323) 981-4488
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA07656H | Medicaid | CA | |
| H67070 | Other | HARBOR REG - CERRITOS LOC | |
| ZZT07129H | Medicaid | CA | |
| H17944 | Other | HARBOR REG - NRIDGE LOC |
Other names 1
- TrinityCare Extended Care
National Provider Directory
National Provider Directory- Part of
- Trinitycare LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
13030 Alondra Blvd
Cerritos, CA 90703
Phone (562) 345-2000
13030 Alondra Blvd
Ste 102
Cerritos, CA 90703
Phone (562) 345-2000
20600 Nordhoff St
Chatsworth, CA 91311
901 Corporate Center Dr
Ste 406
Monterey Park, CA 91754
Phone (323) 981-4488
1000 Corporate Center Dr
Ste 110
Monterey Park, CA 91754
Phone (323) 981-4488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477353600000",
"number": "1851425409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DRIVE",
"address_2": "SUITE 110",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917549906",
"telephone_number": "323-981-4488",
"fax_number": "323-981-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DRIVE",
"address_2": "SUITE 110",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917549906",
"telephone_number": "323-981-4488",
"fax_number": "323-981-4499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITYCARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRINITYCARE, LLC",
"enumeration_date": "2007-03-15",
"last_updated": "2016-10-25",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "ADMINISTRATOR/DPCS",
"authorized_official_telephone_number": "323-981-4488",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN, PHN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980000632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA07656H",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARBOR REG - CERRITOS LOC",
"identifier": "H67070",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT07129H",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARBOR REG - NRIDGE LOC",
"identifier": "H17944",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TrinityCare Extended Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.