Treg Concord Op Co Dir,LLC; Agemark Management, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TREG CONCORD OP CO DIR,LLC; AGEMARK MANAGEMENT, LLC

Doing business as

Trevista Concord

Practice address

1081 Mohr LN
Concord, CA 94518-3757

Phone

(925) 798-3900

NPI assigned

Feb 12, 2024

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 Concord Doing business as

Locations

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1881458628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 MOHR LN",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183757",
            "telephone_number": "925-798-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 MOHR LN",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183757",
            "telephone_number": "925-798-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREG CONCORD OP CO DIR,LLC; AGEMARK MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "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 Concord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tranquility Incorporated
• Angelina Marie Trask
• Nicholas Tyler Trautloff
• Dillon Ray Traynor, DPT
• Evangeline Treadway
• Araceli J Trejo, IBCLC
• Tais Trejo
• Jennifer Trelles Epifania
• Lynne Ann Trestrail, RD
• Skylie Dawn Tribble

• Assisted Living Facility in Concord, CA
• Providers in Concord, 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 12, 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.