Organization 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
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Feb 13, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.