Organization Active NPI

Trinity R&R I LP

  • Skilled Nursing Facility
  • San Augustine, TX
National Provider Identifier
1962492777
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
113720 Issued in TX
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 113720 TX Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.