Organization Active NPI

Trinity Healthcare Corporation

  • Skilled Nursing Facility
  • Montgomery, OH
National Provider Identifier
1871590927
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1668 Issued in OH
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

Updated by the provider on Jan 23, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0366778MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.