Trinity Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

102334 Issued in AZ

Legal business name

TRINITY HOME CARE LLC

Practice address

1608 #B State Highway 264
Tse Bonito, NM 87305

Phone

(505) 900-8894

NPI assigned

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Sue Ann Manuelito, EDD

Title

Owner

Phone

(505) 900-8894

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1922596923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "ST MICHAELS",
            "state": "AZ",
            "postal_code": "865110094",
            "telephone_number": "928-871-5208",
            "fax_number": "888-481-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 #B STATE HIGHWAY 264",
            "city": "TSE BONITO",
            "state": "NM",
            "postal_code": "87305",
            "telephone_number": "505-900-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "MANUELITO",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-900-8894",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "102334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Festus Belfon, DMD
• Native American Home Care LLC

• All providers in Tse Bonito, NM
• In Home Supportive Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.