Organization Active NPI

Tri-State Transitional Living Inc.

  • Community/Behavioral Health Agency
  • Evansville, IN
National Provider Identifier
1912699604
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRI-STATE TRANSITIONAL LIVING INC.
Practice address
4668 Seib Rd
Evansville, IN 47720-7682
Phone
(812) 746-4798
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Mr. Gregory S Kempf
Title
Director
Phone
(812) 746-4798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4668 Seib Rd
Evansville, IN 47720-7682

Mailing address

4668 Seib Rd
Evansville, IN 47720-7682
Phone (812) 746-4798

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1912699604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4668 SEIB RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477207682",
            "telephone_number": "812-746-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4668 SEIB RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477207682",
            "telephone_number": "812-746-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE TRANSITIONAL LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "KEMPF",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-746-4798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.