NPIMap

Organization Active NPI

Trinity Home Care LLC

  • Custodial Care Facility
  • Grants Pass, OR
National Provider Identifier
1992897599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
152142 Issued in OR
Legal business name
TRINITY HOME CARE LLC
Practice address
940 SW Central Ave
Grants Pass, OR 97526-2755
Phone
(541) 479-0874
Fax
(541) 476-0933
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charlotte Ann Evans
Title
Owner/ Accounts Payable
Phone
(541) 479-0874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 152142 OR Primary

Addresses

Primary practice location

940 SW Central Ave
Grants Pass, OR 97526-2755

Mailing address

940 SW Central Ave
Grants Pass, OR 97526-2755
Phone (541) 479-0874

National Provider Directory

National Provider Directory
Tax ID family
Trinity Homecare LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992897599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 SW CENTRAL AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262755",
            "telephone_number": "541-479-0874",
            "fax_number": "541-476-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 SW CENTRAL AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262755",
            "telephone_number": "541-479-0874",
            "fax_number": "541-476-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ ACCOUNTS PAYABLE",
        "authorized_official_telephone_number": "541-479-0874"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "OR",
            "license": "152142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.