NPIMap

Organization Active NPI

Lutheran Home at Trinity Oaks

  • Nursing Facility/Intermediate Care Facility
  • Salisbury, NC
National Provider Identifier
1972790558
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0197 Issued in NC
Legal business name
LUTHERAN HOME AT TRINITY OAKS
Practice address
820 Klumac Rd
Salisbury, NC 28144-5722
Phone
(704) 637-3784
Fax
(704) 636-9464
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Mr. Bill Johnson
Title
Administrator
Phone
(704) 637-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0197 NC Primary

Addresses

Primary practice location

820 Klumac Rd
Salisbury, NC 28144-5722

Mailing address

820 Klumac Rd
Salisbury, NC 28144-5722
Phone (704) 637-3784

Other identifiers 1

IdentifierTypeStateIssuer
3416124MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Home at Trinity Oaks5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1972790558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 KLUMAC RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445722",
            "telephone_number": "704-637-3784",
            "fax_number": "704-636-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 KLUMAC RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445722",
            "telephone_number": "704-637-3784",
            "fax_number": "704-636-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME AT TRINITY OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-637-3784",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416124",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.