NPIMap

Organization Active NPI

Trinity Village,Inc. Doing Business As Trinity Village Medical Center

  • Skilled Nursing Facility
  • Pine Bluff, AR
National Provider Identifier
1932236767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
314 Issued in AR
Legal business name
TRINITY VILLAGE,INC. DOING BUSINESS AS TRINITY VILLAGE MEDICAL CENTER
Practice address
6400 Trinity Dr
Pine Bluff, AR 71603-7802
Phone
(870) 879-3113
Fax
(870) 879-2246
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Robert Neff
Title
Executive Director
Phone
(870) 879-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 314 AR Primary

Addresses

Primary practice location

6400 Trinity Dr
Pine Bluff, AR 71603-7802

Mailing address

6400 Trinity Dr
Pine Bluff, AR 71603-7802
Phone (870) 879-3113

National Provider Directory

National Provider Directory
Tax ID family
Trinity Village Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932236767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 TRINITY DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037802",
            "telephone_number": "870-879-3113",
            "fax_number": "870-879-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 TRINITY DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037802",
            "telephone_number": "870-879-3113",
            "fax_number": "870-879-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY VILLAGE,INC. DOING BUSINESS AS TRINITY VILLAGE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-879-3113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.