Trivium South Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TRIVIUM SOUTH HEALTHCARE, LLC

Practice address

4055 Lawrenceville Hwy NW
Suite 200
Lilburn, GA 30047-2806

Phone

(877) 541-5595

Fax

(770) 717-0311

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Nigel Oniko Douglas, OWNER

Title

Administrator

Phone

(877) 541-5595

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Adaku U. Nwachuku, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Clinton, MD
  • NPI 1184850505
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1982000386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 200",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472806",
            "telephone_number": "877-541-5595",
            "fax_number": "770-717-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 200",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472806",
            "telephone_number": "877-541-5595",
            "fax_number": "770-717-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIVIUM SOUTH HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "NIGEL",
        "authorized_official_middle_name": "ONIKO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "877-541-5595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Toan Trinh, RPH
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• Home Health Agency in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.