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TRINITY III INC. NPI 1245495621


NPI Information

NPI: 1245495621
Provider Name: TRINITY III, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
921 N LAFAYETTE ST
SHELBY, NC
ZIP 28150
Phone: (704) 482-0901
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TRINITY III, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Shelby, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. TRINITY III, INC. NPI is 1245495621. The provider is registered as an organization entity type.

The provider's business location address is:

921 N LAFAYETTE ST
SHELBY, NC
ZIP 28150-832
Phone: (704) 482-0901
Fax: (704) 482-2081

The provider's authorized official is Gwendolyn Fox .
The authorized official title is President and has the following contact phone number (704) 482-0901.

The enumeration date for this NPI number is 7/24/2008 and was last updated on 7/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16603222MEDICAIDNORTH CAROLINA
26603999MEDICAIDNORTH CAROLINA
38301206-BMEDICAIDNORTH CAROLINA
46603223MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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