Triad Life Sevices, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRIAD LIFE SEVICES, LLC.

Practice address

1146 N Church St
Suite F
Burlington, NC 27217-2702

Phone

(336) 350-0775

NPI assigned

Jan 28, 2009

Last updated

Jan 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cassandra Phillipia Harvey

Title

Ceo

Phone

(336) 350-0775

Specialties & licenses 1

Addresses

Tax ID family

Triad Life Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Triad Life Services, LLC

  • Community/Behavioral Health Agency
  • Burlington, NC
  • NPI 1154645513
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1235377375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N CHURCH ST",
            "address_2": "SUITE F",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172702",
            "telephone_number": "336-350-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 N CHURCH ST",
            "address_2": "SUITE F",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172702",
            "telephone_number": "336-350-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD LIFE SEVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "PHILLIPIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-350-0775",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Miguel Tremols, LCSW, LCAS
• Alexis S Trendowski, DDS
• Triad Health Care Services #2
• Triad Healthcare Services 1 (Triad Healthcare Services LLC)
• Triad Life Services, LLC
• Triad Mobility & Supply LLC
• Triangle Community Intervention Services (Tcis)
• Triangle Community Interventions (Triangle Community Interventions,Triad Healthcare)
• Triangle Home Care of the Triad
• Triangle Home Health Care, Inc (Triangle Home Health Care- Alamance)

• Community/Behavioral Health Agency in Burlington, NC
• Providers in Burlington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.