NPIMap

Organization Active NPI

Trinity Visiting Nurse and Homecare Association

  • Home Health Agency
  • Moline, IL
National Provider Identifier
1992729636
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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
Jul 26, 2006
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
Home Health Agency 251E00000X 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

Other identifiers 4

IdentifierTypeStateIssuer
0908434MedicaidIA
96359OtherWELLMARK IA
9691OtherBLUE CROSS BLUE SHIELD
96360OtherWELLMARK

National Provider Directory

National Provider Directory
Tax ID family
Unitypoint at Home25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1992729636",
    "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": "2006-07-26",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1002237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908434",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK IA",
            "identifier": "96359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "96360",
            "state": null
        }
    ],
    "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.