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1710662754 NPI number — TRINITY POST-ACUTE CARE PA

NPI Number: 1710662754
Health Care Provider/Practitioner: TRINITY POST-ACUTE CARE PA

Information about “1710662754” NPI (TRINITY POST-ACUTE CARE PA) exists in 1710662754 in HTML format HTML  |  1710662754 in plain Text format TXT  |  1710662754 in PDF (Portable Document Format) PDF  |  1710662754 in an XML format XML  formats.

NPI Number : 1710662754 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710662754",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRINITY POST-ACUTE CARE PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 674901",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75267-4901",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-531-7813",
    "MailingAddressFaxNumber": "214-421-4804",
    "FirstLinePracticeLocationAddress": "1341 W MOCKINGBIRD LN STE 600-454",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75247-6913",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-531-7813",
    "PracticeLocationAddressFaxNumber": "214-421-4804",
    "EnumerationDate": "06/19/2023",
    "LastUpdateDate": "02/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SILVA",
    "AuthorizedOfficialFirstName": "PHILLIP",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "MD/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "214-356-1724",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "282E00000X",
          "TaxonomyName": "Long Term Care Hospital",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "313M00000X",
          "TaxonomyName": "Nursing Facility/Intermediate Care Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "314000000X",
          "TaxonomyName": "Skilled Nursing Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207QG0300X",
          "TaxonomyName": "Geriatric Medicine (Family Medicine) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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