Organization Active NPI

Trifecta Health Care Institute

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Knoxville, TN
National Provider Identifier
1255164125
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TRIFECTA HEALTH CARE INSTITUTE
Practice address
2017 Ailor Ave
Knoxville, TN 37921-5806
Phone
(978) 729-8921
NPI assigned
Aug 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Mr. Shawn Whitt
Title
Ceo
Phone
(949) 529-7925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2017 Ailor Ave
Knoxville, TN 37921-5806

Mailing address

2017 Ailor Ave
Knoxville, TN 37921-5806
Phone (978) 729-8921

National Provider Directory

National Provider Directory

Locations

2017 Ailor Ave
Knoxville, TN 37921
Phone (978) 729-8921

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1255164125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 AILOR AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215806",
            "telephone_number": "978-729-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 AILOR AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215806",
            "telephone_number": "978-729-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIFECTA HEALTH CARE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "WHITT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-529-7925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.