Organization Active NPI

Trinitycare LLC

  • Home Health Agency
  • Monterey Park, CA
National Provider Identifier
1851425409
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000632 Issued in CA
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA07656HMedicaidCA
H67070OtherHARBOR REG - CERRITOS LOC
ZZT07129HMedicaidCA
H17944OtherHARBOR REG - NRIDGE LOC

Other names 1

  • TrinityCare Extended Care Doing business as

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.

Verify at the official NPI Registry.