TRILOGY HEALTHCARE, INC. (NPI# 1386277747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386277747 |
| Entity Type | Organization |
| Organization Name | TRILOGY HEALTHCARE, INC. |
| Practice Address |
1989 Edgeview Dr San Jose CA 95122-4020 |
| Mailing Address |
4622 Hedgewick Ave Fremont CA 94538-3328 |
| Practice Telephone | 4084295330 |
| Mailing Telephone | 4084295330 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | MRS. SHARI LYNN CAPALLA (OWNER) |
| Authorized Official Telephone | 4084295330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Edgeview Manor | Doing Business As Name - Organization |
| Street Address |
1989 EDGEVIEW DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003119116 | Walter Akwo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3051 Colonial Way Apt 8, San Jose, CA 95128-4311 | 2010-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589959 | Mcnamar Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2743 Lowell Dr, Chico, CA 95973-7216 | 2020-08-18 |
| 1093257545 | Casa Edithafoundation Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1756 N Hill Ave, Pasadena, CA 91104-1429 | 2016-11-15 |
| 1336696046 | Mj Asset Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 W Merced Ave, West Covina, CA 91790-3904 | 2016-09-10 |
| 1639571599 | New Providence Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5167 G St, Chino, CA 91710-5143 | 2014-09-23 |
| 1427459700 | Good Samaritan Special Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 42612 35th St W, Lancaster, CA 93536-4105 | 2014-09-05 |
| 1699107581 | Arnon LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8410 Springford Dr, Sun Valley, CA 91352-3648 | 2013-08-02 |
| 1790126423 | Contemporary Behavior Consultants, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8032 E Bynum St, Long Beach, CA 90808-3231 | 2013-07-10 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1073868279 | Arnon LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8410 Springford Drive, Sun Valley, CA 91352-3648 | 2012-07-13 |
| 1710241989 | Key 2 Balance LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Technology, Suite 173, Irvine, CA 92618-2725 | 2012-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.