Jays Residential Llc - Trevis House
LBN: Jays Residential Llc - Trevis House
Jays Residential Llc - Trevis House is an health care organization with primary practice located at 12731 Richmond Ave , Grandview MO 64030-2160. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Jays Residential Llc - Trevis House can be contacted via phone (816) 456-6461, or through Rudolph, Jason Lee via phone (816) 456-6461.
Contact Information
Primary practice address
12731 Richmond Ave
Grandview MO 64030-2160
Phone: (816) 456-6461
Fax: (816) 965-0131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | Missouri |
Profile Details
| NPI number | 1639296270 |
|---|---|
| LBN Legal business name | Jays Residential Llc - Trevis House |
| DBA Doing business as | |
| Authorized official | Rudolph, Jason Lee BS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639296270 | NPPES |
| Missouri | MEDICAID | 85603516 |
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