Trevn Residential Services, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

2517557 Issued in OH

Legal business name

TREVN RESIDENTIAL SERVICES, LLC

Practice address

1660 NW Professional PLZ
Suite J
Columbus, OH 43220-3854

Phone

(614) 273-0301

Fax

(614) 273-0801

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael A Thomas

Title

Ceo

Phone

(614) 273-0301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740300508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 NW PROFESSIONAL PLZ",
            "address_2": "SUITE J",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203854",
            "telephone_number": "614-273-0301",
            "fax_number": "614-273-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 NW PROFESSIONAL PLZ",
            "address_2": "SUITE J",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203854",
            "telephone_number": "614-273-0301",
            "fax_number": "614-273-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVN RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-273-0301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "OH",
            "license": "2517557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2372703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Artiss Cosette Treptau, APRNCNP
• Jamie Nielsen Treseder, M.D.
• Zachary Tressel, PHARMD, BCPS
• Jason George Tretter, MD
• Kendra Carley Trevant, APRN-CNP
• Tracey L Trgovac, M.D
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• Contractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Contractor in Ohio

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