Trilogy Healthcare of Greenville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2677 Issued in OH

Legal business name

TRILOGY HEALTHCARE OF GREENVILLE, LLC

Practice address

1315 Kitchen Aid Way
Greenville, OH 45331-1394

Phone

(937) 548-1993

NPI assigned

Dec 6, 2005

Organization subpart

Yes

Parent organization

TRILOGY OPCO, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Paul P Plevyak

Title

Sr. Vice President

Phone

(502) 213-1710

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Village Green Health Campus Doing business as

Practitioners 1

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

• Hafiz Rehman

  • Internal Medicine Physician
  • Greenville, OH
  • NPI 1255707519
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1861476442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221648",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402521648",
            "telephone_number": "502-412-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 KITCHEN AID WAY",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311394",
            "telephone_number": "937-548-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY HEALTHCARE OF GREENVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILOGY OPCO, LLC",
        "enumeration_date": "2005-12-06",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "PLEVYAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "502-213-1710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112671",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060404",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0299725",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Green Health Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan William Thompson II, PHARMD
• Timathy Allen Tidwell
• Rachel Tiller, DEM MIDWIFE
• Lynnette Lynn Trent
• Emily Trick, SLP
• C David Trimble, DPM
• Ashley A Trout, LPN
• Briana M Troutwine, LPC
• Ashley Ann Tuco
• Lance Turner, LCDCII

• Skilled Nursing Facility in Greenville, OH
• Providers in Greenville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.