Trevina Marshall

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

49053601 Issued in PA

Practice address

610 Old York Rd
Suite 400
Jenkintown, PA 19046-1904

Phone

(215) 407-3424

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1407521974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 RUGBY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191502413",
            "telephone_number": "215-407-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 OLD YORK RD",
            "address_2": "SUITE 400",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461904",
            "telephone_number": "215-407-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TREVINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "49053601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@peaceofmindcares.org",
            "affiliation": "N",
            "endpointDescription": "company email",
            "address_1": "610 Old York Rd",
            "address_2": "Suite 400",
            "city": "Jenkintown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190461904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roger A. Marinchak, M.D.
• Nikole Marie Markie, LSW
• Emily Goldblum Marks, SLP
• Sylvia Samantha Marquez, LPC
• Marsha J Friedman PHD LLC
• Danielle Martin, DPT
• Sara Martin, LPC
• Cassandra Martinez, LCSW
• Max Masino, MS
• Burton Mass, M.D.

• In Home Supportive Care Agency in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.