Jays Residential Llc - Trevis House in Grandview - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Jays Residential Llc - Trevis House - NPI 1639296270
Jays Residential Llc - Trevis House is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Grandview, Missouri. Jays Residential Llc - Trevis House practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Jays Residential Llc - Trevis House is 1639296270. The last update date is 2020-08-22.
Jays Residential Llc - Trevis House's current location address is 12731 Richmond Ave, Grandview, Missouri. You can contact this provider via phone number 8164566461 and fax number 8169650131. The mailing address for Jays Residential Llc - Trevis House is 12731 Richmond Ave, Grandview, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jays Residential Llc - Trevis House |
|---|---|
| Address | 12731 Richmond Ave, Grandview, Missouri |
| Phone Number | 8164566461 |
| Fax Number | 8169650131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Rudolph Lee Jason |
| Credentials | BS |
| Telephone Number | 8164566461 |
NPI Number Detail
| NPI Number | 1639296270 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12731 Richmond Ave |
|---|---|
| City | Grandview |
| State | Missouri (MO) |
| Post Code | 640302160 |
| Phone Number | 8164566461 |
| Fax Number | 8169650131 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85603516 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jays Residential Llc - Trevis House by the Centers for Medicare & Medicaid Services?
The Jays Residential Llc - Trevis House has been assigned the NPI (National Provider Identifier) 1639296270 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jays Residential Llc - Trevis House's facilities are geographically located?
The facilities of Jays Residential Llc - Trevis House are physically situated at the following location: 12731 Richmond Ave, Grandview, MO, 640302160.
What is Jays Residential Llc - Trevis House's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jays Residential Llc - Trevis House's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
When did Jays Residential Llc - Trevis House receive its 1639296270 assignment?
The Jays Residential Llc - Trevis House was assigned its 1639296270 on 2007-03-26, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jays Residential Llc - Trevis House most recently updated or revised?
The details related to Jays Residential Llc - Trevis House, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.