TRINITY ADULT CARE HOME (NPI# 1205082187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205082187 |
| Entity Type | Organization |
| Organization Name | TRINITY ADULT CARE HOME |
| Practice Address |
681 Smith Rd Maysville NC 28555-9121 |
| Mailing Address |
896 Lynchburg Dr Jacksonville NC 28546-6010 |
| Practice Telephone | 9103468649 |
| Mailing Telephone | 9103468649 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | MRS. DELORES PERRY (FACILITY DIRECTOR/OWNER) |
| Authorized Official Telephone | 9103468649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | TRINITY ADULT CARE HOME INC. | 821 Rowland Dr Se, Olympia, WA 98513 |
| Street Address |
681 SMITH RD |
| City | MAYSVILLE |
| State | NC |
| Zip Code | 28555-9121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989273 | Alaina Christine Weddle | Dietitian, Registered | 115 Waterford Way, Maysville, NC 28555 | 2019-09-03 |
| 1083084206 | Aci Support Specialists | Case Management | 301 4th St., Maysville, NC 28555 | 2015-09-30 |
| 1689016206 | Sue A. Minneman-fowler, Dds, Pllc | Dentist | 1002 Jenkins Anenue, Maysville, NC 28555 | 2013-07-24 |
| 1437311248 | Coastal Childrens Clinic | Pediatrics | 1004 Jenkins Avenue, Maysville, NC 28555 | 2008-07-02 |
| 1932216629 | Sue Ann Minneman-fowler | Dentist | 1002 Jenkins Avenue, Maysville, NC 28555 | 2006-08-25 |
| 1669842894 | Aci Support Specialists | Case Management | 402 Maple Ave, Maysville, NC 28555 | 2015-09-30 |
| 1225277163 | Wilson's Home Care Agency, Inc. | Technician | 506 Main St., Maysville, NC 28555-0331 | 2009-02-17 |
| 1932269792 | Nurses Plus Behavioral Health Services, LLC | Community/Behavioral Health | 378 Catfish Lake Rd., Maysville, NC 28555-0775 | 2006-12-11 |
| 1225294283 | Quality-care Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 Maple Avenue, Maple, NC 28555-0942 | 2008-07-30 |
| 1407052194 | Quality Care Behavioral Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 402 Maple Street, Maysville, NC 28555-0942 | 2007-06-21 |
| Find all providers in zip 28555 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.