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TRINITY VILLAGE INC NPI 1831596659


NPI Information

NPI: 1831596659
Provider Name: TRINITY VILLAGE, INC

Doing Business As: TRINITY VILLAGE ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6400 TRINITY DR
PINE BLUFF, AR
ZIP 71603
Phone: (870) 879-3113
Get Directions

TRINITY VILLAGE, INC is an assisted living facility in Pine Bluff, AR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. TRINITY VILLAGE, INC NPI is 1831596659. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Village Assisted Living.

The provider's business location address is:

6400 TRINITY DR
PINE BLUFF, AR
ZIP 71603-802
Phone: (870) 879-3113
Fax: (870) 879-2246

The provider's authorized official is Donna Stone .
The authorized official title is Executive Director and has the following contact phone number (870) 879-3113.

The enumeration date for this NPI number is 11/21/2014 and was last updated on 11/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility089ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202271794MEDICAIDARKANSAS

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: 4/28/2024

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