Organization Active NPI

Trinitycare Group Homes Indiana

  • Custodial Care Facility
  • Indianapolis, IN
National Provider Identifier
1851522965
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
43858 Issued in IN
Legal business name
TRINITYCARE GROUP HOMES INDIANA
Practice address
1800 N Meridian St
Suite 403
Indianapolis, IN 46202-1443
Phone
(317) 924-8405
Fax
(317) 924-8409
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Ms. Trinette Clark, B.S., A.S.C.P.
Title
President/Administrator
Phone
(317) 924-5804

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 43858 IN Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 43858 IN

Addresses

Primary practice location

1800 N Meridian St
Suite 403
Indianapolis, IN 46202-1443

Mailing address

1800 N Meridian St
Suite 403
Indianapolis, IN 46202-1443
Phone (317) 924-8405

National Provider Directory

National Provider Directory

Locations

1800 N Meridian St
Ste 403
Indianapolis, IN 46202
Phone (317) 924-8405

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1851522965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N MERIDIAN ST",
            "address_2": "SUITE 403",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021443",
            "telephone_number": "317-924-8405",
            "fax_number": "317-924-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N MERIDIAN ST",
            "address_2": "SUITE 403",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021443",
            "telephone_number": "317-924-8405",
            "fax_number": "317-924-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITYCARE GROUP HOMES INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRINETTE",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "317-924-5804",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S., A.S.C.P."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IN",
            "license": "43858",
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "IN",
            "license": "43858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.