Three Rivers Residential Care LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

THREE RIVERS RESIDENTIAL CARE LLC

Practice address

4043 Irene St
West Mifflin, PA 15122-2069

Phone

(616) 446-0271

NPI assigned

Feb 12, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Small

Title

Owner

Phone

(317) 372-6611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1902611148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12037 LEIGHTON CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327345",
            "telephone_number": "317-372-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 IRENE ST",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222069",
            "telephone_number": "616-446-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-372-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Swade II, DC
• Asma M. Syeda, MD
• Nicholas Edward Tedeschi, DPT
• Three Rivers Behavioral Health
• Three Rivers Behavioral Health
• Thrift Drug Inc
• John E Tiano, DDS
• Linda Johnson Tomsho, CPD
• Kristen Aline Trussa, LPC
• Upmc Community Medicine Inc

• Psychiatric Residential Treatment Facility in West Mifflin, PA
• Providers in West Mifflin, PA by specialty
• Psychiatric Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.