Active NPI
Trinity R&R I LP
- Skilled Nursing Facility
- San Augustine, TX
National Provider Identifier
1962492777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 113720
- Legal business name
- TRINITY R&R I LP
- Practice address
- 902 E Main St
San Augustine, TX 75972-2316 - Phone
- (936) 275-2055
- Fax
- (936) 275-5658
- NPI assigned
- Oct 24, 2005
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Shawn Conley
- Title
- C F O
- Phone
- (817) 303-4089
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 113720 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
902 E Main St
San Augustine, TX 75972-2316
Mailing address
902 E Main St
San Augustine, TX 75972-2316
Phone (936) 275-2055
Other names 1
NPPES NPI Registry- Trinity Rehabilitation and Retirement Community of San Augustine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2009.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240790400000",
"number": "1962492777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 E MAIN ST",
"city": "SAN AUGUSTINE",
"state": "TX",
"postal_code": "759722316",
"telephone_number": "936-275-2055",
"fax_number": "936-275-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 E MAIN ST",
"city": "SAN AUGUSTINE",
"state": "TX",
"postal_code": "759722316",
"telephone_number": "936-275-2055",
"fax_number": "936-275-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY R&R I LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-24",
"last_updated": "2009-04-27",
"status": "A",
"authorized_official_last_name": "CONLEY",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "C F O",
"authorized_official_telephone_number": "817-303-4089"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "113720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Rehabilitation and Retirement Community of San Augustine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Augustine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.