Active NPI
Trinity Home Health Services, Inc.
- Home Health Agency
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 6466775
- Legal business name
- TRINITY HOME HEALTH SERVICES, INC.
- Practice address
- 8039 State Ave
Kansas City, KS 66112 - Phone
- (913) 299-1100
- Fax
- (913) 291-2340
- NPI assigned
- Dec 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith Mueni Kimatu, APRN
- Title
- Owner
- Phone
- (913) 499-9320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 6466775 | KS | Primary |
Addresses
Primary practice location
8039 State Ave
Kansas City, KS 66112
Mailing address
8039 State Ave
Kansas City, KS 66112
Phone (913) 299-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-105-170 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220408001829 | KS | Part A Provider - Home Health Agency | 8527454081 | Practice locations: Kansas City, KS |
Home health agency certification: CCN 178131
- Legal name
- TRINITY HOME HEALTH SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 22, 2022
- Last certification
- Nov 10, 2022
- Organization structure
- Corporation
- Incorporated
- Oct 4, 2010 in KS
- Enrollment address
- 8039 State Ave
Kansas City, KS 66112-2454
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Trinity Home Health Services Inc
- Ownership
- -
- Certified
- Nov 22, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2115340 | Trinity Home Health Services | Certificate of waiver | Jul 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Trinity Home Health Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Kansas City, KS
- NPI 1255744942
Locations
8039 State Ave
Kansas City, KS 66112
Phone (913) 299-1100
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel Bostrom | Corporate Officer | Oct 4, 2010 | |
| Corporate Director | Oct 4, 2010 | ||
| Judith M Kimatu | 5% Or Greater Direct Ownership Interest | Oct 4, 2010 | 100% |
| Corporate Officer | Oct 4, 2010 | ||
| Corporate Director | Oct 4, 2010 | ||
| W-2 Managing Employee | Oct 4, 2010 | ||
| Marshall Edwards | Corporate Officer | Oct 4, 2010 | |
| Corporate Director | Oct 4, 2010 | ||
| W-2 Managing Employee | Oct 4, 2010 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Adult Health Nurse Practitioner
- Leawood, KS
- NPI 1962794586
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Leawood, KS
- NPI 1962794586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643846400000",
"number": "1992009450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8039 STATE AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66112",
"telephone_number": "913-299-1100",
"fax_number": "913-291-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8039 STATE AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66112",
"telephone_number": "913-299-1100",
"fax_number": "913-291-2340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-27",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A",
"authorized_official_last_name": "KIMATU",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "MUENI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-499-9320",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "6466775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A-105-170",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.