Organization Active NPI

Trinity Visiting Nurse and Homecare Association

  • Nursing Care Agency
  • Moline, IL
National Provider Identifier
1992032924
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
1002237 Issued in IL
Legal business name
TRINITY VISITING NURSE AND HOMECARE ASSOCIATION
Practice address
106 19TH Ave
Suite 101
Moline, IL 61265-3700
Phone
(309) 779-7600
Fax
(309) 779-7252
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Mr. Todd J Richard, PT
Title
Executive Director
Phone
(309) 779-7242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 1002237 IL Primary

Addresses

Primary practice location

106 19TH Ave
Suite 101
Moline, IL 61265-3700

Mailing address

106 19TH Ave
Suite 101
Moline, IL 61265-3700
Phone (309) 779-7600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1992032924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 19TH AVE",
            "address_2": "SUITE 101",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653700",
            "telephone_number": "309-779-7600",
            "fax_number": "309-779-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 19TH AVE",
            "address_2": "SUITE 101",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653700",
            "telephone_number": "309-779-7600",
            "fax_number": "309-779-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY VISITING NURSE AND HOMECARE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-779-7242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "1002237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.