Active NPI
Trilogy Healthcare, Inc.
Doing business as Edgeview Manor
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- San Jose, CA
National Provider Identifier
1386277747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- TRILOGY HEALTHCARE, INC.
- Doing business as
- Edgeview Manor
- Practice address
- 1989 Edgeview Dr
San Jose, CA 95122-4020 - Phone
- (408) 429-5330
- NPI assigned
- Feb 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shari Lynn Capalla
- Title
- Owner
- Phone
- (408) 429-5330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1989 Edgeview Dr
San Jose, CA 95122-4020
Mailing address
4622 Hedgewick Ave
Fremont, CA 94538-3328
Phone (408) 429-5330
Other names 1
- Edgeview Manor
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581552000000",
"number": "1386277747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 HEDGEWICK AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945383328",
"telephone_number": "408-429-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1989 EDGEVIEW DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951224020",
"telephone_number": "408-429-5330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRILOGY HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A",
"authorized_official_last_name": "CAPALLA",
"authorized_official_first_name": "SHARI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-429-5330",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Edgeview Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.