Trinity Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH-3897 Issued in AZ

Legal business name

TRINITY HOME LLC

Practice address

2384 E Camino Malcote
Tucson, AZ 85706-5191

Phone

(520) 207-5196

Fax

(520) 203-7567

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Robert Ngonghopongho Forlemu, MR.

Title

Administrator/Program Director

Phone

(520) 270-7061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1861701146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 E CAMINO MALCOTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857065191",
            "telephone_number": "520-207-5196",
            "fax_number": "520-203-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 E CAMINO MALCOTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857065191",
            "telephone_number": "520-207-5196",
            "fax_number": "520-203-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "FORLEMU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NGONGHOPONGHO",
        "authorized_official_title_or_position": "ADMINISTRATOR/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "520-270-7061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH-3897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Trimble, MD
• Huong Jane Hoai Trinh, RN, C-ANP
• Johnny Minh Trinh, MD
• Sean Trinh
• Sylvia Anh Trinh, PHARMD
• Trinity Procare
• Trinity'S House
• Ipsita Hamid Trisha
• Linda Jean Tristani, PHARM.D.
• Ashley Tritz, PHARMD

• Mental Illness Community Based Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.