NPIMap

Organization Active NPI

Trinity Services Inc.

  • Social Worker
  • Joliet, IL
National Provider Identifier
1902086861
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
180005943 Issued in IL
Legal business name
TRINITY SERVICES INC.
Practice address
62 W Washington St
Joliet, IL 60432
Phone
(815) 722-4384
Fax
(815) 722-4390
NPI assigned
Nov 8, 2007
Last updated
May 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Bob Taylor
Title
Cfo
Phone
(815) 320-7190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 180005943 IL Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

62 W Washington St
Joliet, IL 60432

Mailing address

301 Veterans Pkwy
New Lenox, IL 60451-2899
Phone (815) 485-6197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000827 IL Part B Supplier - Clinic/Group Practice 8527060466 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Orland Park, IL; New Lenox, IL; Joliet, IL; Homewood, IL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

62 W Washington St
Joliet, IL 60432
Phone (815) 722-4384

1361 E Lincoln Hwy
New Lenox, IL 60451
Phone (815) 462-4273

10811 W 143rd St
Ste 200
Orland Park, IL 60467
Phone (708) 981-3347

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1902086861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VETERANS PKWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512899",
            "telephone_number": "815-485-6197",
            "fax_number": "815-485-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 W WASHINGTON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60432",
            "telephone_number": "815-722-4384",
            "fax_number": "815-722-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-320-7190"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "IL",
            "license": "180005943",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.