Treg Antioch I Op Co Director LLC; Agemark Management, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TREG ANTIOCH I OP CO DIRECTOR LLC; AGEMARK MANAGEMENT, LLC

Doing business as

TreVista Antioch

Practice address

3950 Lone Tree Way
Antioch, CA 94509-6271

Phone

(925) 470-3395

NPI assigned

Feb 26, 2024

Last updated

Feb 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janelle Lopez

Title

Operations Specialist

Phone

(510) 230-3165

Specialties & licenses 1

Addresses

Other names 1

• TreVista Antioch Doing business as

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1518723675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096271",
            "telephone_number": "925-470-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096271",
            "telephone_number": "925-470-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREG ANTIOCH I OP CO DIRECTOR LLC; AGEMARK MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "510-230-3165"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TreVista Antioch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlene N Tran, DDS
• Dora Tran, LCSW
• Kate Huong Mai Tran, PHARMD.
• Phuong Thi Hai Tran, PHARMD
• Thao Tran
• Greg Mack Trikala
• Trinity Residential Solutions LLC
• Ashley R Triplett, RRT-NPS
• Maighan Triplett
• Beth Truong, FNP-BC

• Assisted Living Facility in Antioch, CA
• Providers in Antioch, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.