Active NPI
Trinity Healthcare Corporation
- Skilled Nursing Facility
- Montgomery, OH
National Provider Identifier
1871590927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1668
- Legal business name
- TRINITY HEALTHCARE CORPORATION
- Practice address
- 8211 Weller Rd
Montgomery, OH 45242-3208 - Phone
- (513) 489-2444
- Fax
- (513) 247-2943
- NPI assigned
- Jul 5, 2005
- 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
- Mr. Jeff Lemon
- Title
- Executive Director
- Phone
- (423) 476-3035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1668 | OH | Primary |
Addresses
Primary practice location
8211 Weller Rd
Montgomery, OH 45242-3208
Mailing address
2640 Peerless Rd NW
Cleveland, TN 37312-3732
Phone (888) 822-3035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0366778 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
2640 Peerless Rd NW
Cleveland, TN 37312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1871590927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 PEERLESS RD NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123732",
"telephone_number": "888-822-3035",
"fax_number": "423-339-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8211 WELLER RD",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452423208",
"telephone_number": "513-489-2444",
"fax_number": "513-247-2943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY HEALTHCARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-05",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "LEMON",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "423-476-3035",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "1668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0366778",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.