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1821962101 NPI number — TRINITY #3 ASSISTED LIVING FACILITY INC

NPI Number: 1821962101
Health Care Provider/Practitioner: TRINITY #3 ASSISTED LIVING FACILITY INC

Information about “1821962101” NPI (TRINITY #3 ASSISTED LIVING FACILITY INC) exists in 1821962101 in HTML format HTML  |  1821962101 in plain Text format TXT  |  1821962101 in PDF (Portable Document Format) PDF  |  1821962101 in an XML format XML  formats.

NPI Number : 1821962101 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821962101",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRINITY #3 ASSISTED LIVING FACILITY INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6008 LAKEVILLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32818-8809",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-412-6443",
    "MailingAddressFaxNumber": "407-704-8457",
    "FirstLinePracticeLocationAddress": "6008 LAKEVILLE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32818-8809",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-412-6443",
    "PracticeLocationAddressFaxNumber": "407-704-8457",
    "EnumerationDate": "10/01/2025",
    "LastUpdateDate": "10/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JUSTIN TERMILIEN",
    "AuthorizedOfficialFirstName": "YVRONIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "321-460-8125",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3104A0625X",
        "TaxonomyName": "Assisted Living Facility (Mental Illness)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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