Tri Star Residential Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

TRI STAR RESIDENTIAL INC

Practice address

21311 Mada Ave
Southfield, MI 48075-3846

Phone

(248) 836-8987

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Cynthia NkengNPI 1700631991

Title

Director

Phone

(248) 836-8987

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Nkeng

  • Adult Care Home Facility
  • Southfield, MI
  • NPI 1700631991
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1386499523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21311 MADA AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21311 MADA AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753846",
            "telephone_number": "248-836-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR RESIDENTIAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "NKENG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-836-8987"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Marie Treece
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• Kelly Danielle Treharne, LLPC
• Trend Care LLC
• Valerie Trevino
• Tri-Care PC. Dba Northland Clinic
• Tri-County Imaging Center Inc.
• Triangels Home Health Care Inc
• Tricity Laboratory, LLC
• Kristen Leigh Trierweiler

• Adult Care Home Facility in Southfield, MI
• Providers in Southfield, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.