Trinity Omniscient Care

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

002106300 Issued in FL

Legal business name

TRINITY OMNISCIENT CARE

Practice address

4825 33Rd Ave
Vero Beach, FL 32967-1229

Phone

(772) 646-1430

Fax

(772) 429-8163

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Padrica DavisNPI 1356074199

Title

Director

Phone

(772) 646-1430

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Padrica Davis

  • Home Health Aide
  • Vero Beach, FL
  • NPI 1356074199
  NPD (past) Authorized official

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1992005698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 33RD AVENUE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32967",
            "telephone_number": "772-646-1430",
            "fax_number": "772-429-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 33RD AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329671229",
            "telephone_number": "772-646-1430",
            "fax_number": "772-429-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY OMNISCIENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PADRICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-646-1430"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "002106300",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002106300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.