Organization Active NPI

Trivium of Michigan

  • Home Health Agency
  • Eastpointe, MI
National Provider Identifier
1235793233
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRIVIUM OF MICHIGAN
Doing business as
Trivium of Michigan
Practice address
14800 E 9 Mile Rd Unit 40
Eastpointe, MI 48021-3824
Phone
(770) 882-9974
NPI assigned
Apr 24, 2019
Organization subpart
Yes
Parent organization
TRIVIUM OF NEW YORK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Nigel Douglas
Title
Managing Partner
Phone
(929) 463-9998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14800 E 9 Mile Rd Unit 40
Eastpointe, MI 48021-3824

Mailing address

1216 E 86TH St
Brooklyn, NY 11236-4928
Phone (770) 882-9974

Other identifiers 1

IdentifierTypeStateIssuer
8532047MedicaidMI

Other names 1

  • Trivium of Michigan Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nd@triviumofny.com Direct Trivium of New York

National Provider Directory

National Provider Directory
Tax ID family
Trivium of New York2 organizations share this tax ID, including this one
Part of
Trivium of New York

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1235793233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364928",
            "telephone_number": "770-882-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 E 9 MILE RD UNIT 40",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213824",
            "telephone_number": "770-882-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIVIUM OF MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIVIUM OF NEW YORK, LLC",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "NIGEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "929-463-9998"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8532047",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nd@triviumofny.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Trivium of New York",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "1216 E 86th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112364928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trivium of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.