DE TRINITY COMMUNITY LIVING CORP.
NPI 1083198501
Community/Behavioral Health in Middletown, NY

Active since September 20, 2018
25 GORDON RD, MIDDLETOWN, NY 10941(646) 400-4562 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2023, Sep 20, 2018 (2 updates tracked since 2018).

About De Trinity Community Living Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE TRINITY COMMUNITY LIVING CORP. (NPI 1083198501) is a healthcare organization registered as a community/behavioral health in Middletown, New York and active in the NPI registry since September 2018. The organization lists Ejovwoke Riesa, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083198501
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDE TRINITY COMMUNITY LIVING CORP.
Location Address25 GORDON RDMiddletown, NY 10941-3346
Mailing Address25 Gordon RdMiddletown, NY 10941-3346 · (646) 400-4562
Organization SubpartNo
Authorized OfficialEjovwoke RiesaExecutive Director · (646) 400-4562
Enumeration DateSeptember 20, 2018
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
NPI 1083198501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
25 GORDON RD, Middletown, NY 10941

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
25 GORDON RD
MIDDLETOWN, NY 10941
Day Training, Developmentally Disabled Services
25 GORDON RD
MIDDLETOWN, NY 10941
Respite Care
25 GORDON RD
MIDDLETOWN, NY 10941
In Home Supportive Care
25 GORDON RD
MIDDLETOWN, NY 10941
Respite Care
25 GORDON RD
MIDDLETOWN, NY 10941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is De Trinity Community Living Corp.'s NPI number?

The NPI number for De Trinity Community Living Corp. is 1083198501. It was assigned to this organization in the NPPES registry on September 20, 2018.

Where is De Trinity Community Living Corp. located?

De Trinity Community Living Corp. is located at 25 Gordon Rd, Middletown, NY 10941. The listed phone number is (646) 400-4562.

What is De Trinity Community Living Corp.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for De Trinity Community Living Corp. was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.