Organization Active NPI

Trinity Home Health Services, Inc.

  • Home Health Agency
  • Kansas City, KS
National Provider Identifier
1992009450
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6466775 Issued in KS
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

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Judith Mueni Kimatu, APRNNPI 1962794586
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A-105-170MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 178131
Ownership
-
Certified
Nov 22, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2115340Trinity Home Health Services8039 State Ave, Kansas City, KS 66112Certificate of waiverJul 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Trinity Home Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Daniel Bostrom Individual Corporate OfficerVP, Board Member Oct 4, 2010
Corporate DirectorVP, Board Member Oct 4, 2010
Judith M Kimatu Individual 5% Or Greater Direct Ownership Interest Oct 4, 2010 100%
Corporate OfficerPresident, Board Member Oct 4, 2010
Corporate DirectorPresident, Board Member Oct 4, 2010
W-2 Managing EmployeePresident, Board Member Oct 4, 2010
Marshall Edwards Individual Corporate OfficerTreasurer/Secretary/Board Member Oct 4, 2010
Corporate DirectorTreasurer/Secretary/Board Member Oct 4, 2010
W-2 Managing EmployeeTreasurer/Secretary/Board Member 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.

Practitioners & affiliated clinicians

Practitioners 1

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

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

Verify at the official NPI Registry.