TREVN RESIDENTIAL SERVICES, LLC (NPI# 1740300508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740300508 |
| Entity Type | Organization |
| Organization Name | TREVN RESIDENTIAL SERVICES, LLC |
| Practice Address |
1660 Nw Professional Plz Suite J Columbus OH 43220-3854 |
| Practice Telephone | 6142730301 |
| Practice Fax Number | 6142730801 |
| Mailing Telephone | 6142730301 |
| Mailing Fax Number | 6142730801 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL A THOMAS (CEO) |
| Authorized Official Telephone | 6142730301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 2517557 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2372703 | 05 |
| Street Address |
1660 NW PROFESSIONAL PLZ SUITE J |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43220-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952355034 | Kathleen M Graytock | Podiatrist | 1660 Nw Professional Plz, Suite K, Columbus, OH 43220-3854 | 2006-05-21 |
| 1396020855 | Rylie R Mcham | Social Worker | 1660 Nw Professional Plz, Columbus, OH 43220-3854 | 2011-10-17 |
| 1700015302 | Melissa B. Brundage | Counselor | 1660 Nw Professional Plz, Suite F, Columbus, OH 43220-3854 | 2009-07-06 |
| 1962615401 | Douglas Carter Mcelwain | Psychologist | 1660 Nw Professional Plz, Suite F, Columbus, OH 43220-3854 | 2007-05-08 |
| 1841410529 | Edward Richard Bozymski | Psychologist | 1660 Nw Professional Plz, Suite F, Columbus, OH 43220-3854 | 2007-04-26 |
| 1508084013 | Marna L Beatty | Counselor | 1660 Nw Professional Plz, Suite F, Columbus, OH 43220-3854 | 2007-04-22 |
| 1023058021 | Christopher P George | Podiatrist | 1660 Nw Professional Plz, Suite K, Columbus, OH 43220-3854 | 2006-06-07 |
| 1508811548 | Berry Leaf Foot & Ankle Center Ltd | Podiatrist | 1660 Nw Professional Plz, Suite K, Columbus, OH 43220-3854 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558878595 | Rachel Lee Nugen | Nurse Practitioner | 1885 W. Henderson Rd., Upper Arlington, OH 43220 | 2017-12-29 |
| 1285140871 | Sara J Morgan Murphy | Counselor | 5003 Horizons Dr., Suite 110, Columbus, OH 43220 | 2017-12-19 |
| 1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
| 1205341633 | Sarah Vorhis | Counselor | 5003 Horizons Drive Suite #110, Columbus, OH 43220 | 2017-12-07 |
| 1689187833 | Kimberly J Bonta | Counselor | 5003 Horizons Drive, Suite 110, Columbus, OH 43220 | 2017-11-09 |
| 1508383787 | Morgan Allison Dzurko | Behavior Technician | 5000 Arilington Centere Blv Building 2, Upper Arlington, OH 43220 | 2017-08-28 |
| 1801319504 | Sergei Schneider | Case Manager/Care Coordinator | 1550 Old Henderson Rd. St. 271, Columbus, OH 43220 | 2017-07-25 |
| 1467904391 | Michael James Nordgren | Specialist/Technologist | 535 Irving Schottenstein Dr., Columbus, OH 43220 | 2016-10-26 |
| 1588048250 | Kree Blakeman | Behavioral Analyst | 5000 Arlington Centre Boulevard, Columbus, OH 43220 | 2015-07-13 |
| 1043698699 | Candace Tanoue | Pharmacist | 4530 Kenny Road, Columbus, OH 43220 | 2015-05-15 |
| Find all providers in zip 43220 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988135 | Willis Amweg | Contractor | 7514 Sawbury Ct, Columbus, OH 43235-1855 | 2020-10-08 |
| 1972125797 | Talitha Delonda Ramsey | Contractor | 2839 Mimosa St, Columbus, GA 31906-2163 | 2020-05-14 |
| 1538780614 | Shanequal Fletcher-york | Contractor | 319 N Oakley Dr Apt 21, Columbus, GA 31906-6651 | 2020-04-30 |
| 1063044147 | Sal Senethavisuok | Contractor | 4235 Aruba Dr, Columbus, OH 43230-5116 | 2020-02-06 |
| 1366089773 | Denise Michelle Averett | Contractor | 5401 Gunboat Dr Ste 33, Columbus, GA 31907-1498 | 2019-12-04 |
| 1821630062 | Jaquel A Brown | Contractor | 945 Fairglade Ln Apt A, Columbus, OH 43224-3148 | 2019-10-09 |
| 1194284208 | Cherveka Carter-lockhart | Contractor | 2522 Norris Rd Apt 4, Columbus, GA 31907-2573 | 2019-03-18 |
| 1831658244 | Geranda Lofton | Contractor | 6300 Milgen Rd Apt 1388, Columbus, GA 31907-0919 | 2019-03-15 |
| 1265990246 | Tressy Hilton | Contractor | 1615 12th St, Columbus, GA 31906-2937 | 2019-03-08 |
| 1366900367 | Lanelle Aisha Davis | Contractor | 6363 Flat Rock Rd Apt 349, Columbus, GA 31907-9252 | 2019-03-08 |
| Find all providers in COLUMBUS | ||||
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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.