Trivium Life Services in Council Bluffs - Community Based Residential Treatment Facility, Mental Illness
Trivium Life Services - NPI 1841327673
Trivium Life Services is a Community Based Residential Treatment Facility, Mental Illness in Council Bluffs, Iowa. Trivium Life Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Trivium Life Services is 1841327673. The last update date is 2021-12-15.
Trivium Life Services's current location address is 1851 Madison Ave Ste 718, Council Bluffs, Iowa. You can contact this provider via phone number 7122567888 and fax number 7122566502. The mailing address for Trivium Life Services is 1851 Madison Ave Ste 718, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Trivium Life Services |
|---|---|
| Address | 1851 Madison Ave Ste 718, Council Bluffs, Iowa |
| Phone Number | 7122567888 |
| Fax Number | 7122566502 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Zima Matthew Darian |
| Telephone Number | 7122567888 |
NPI Number Detail
| NPI Number | 1841327673 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 1851 Madison Ave Ste 718 |
|---|---|
| City | Council Bluffs |
| State | Iowa (IA) |
| Post Code | 515033602 |
| Phone Number | 7122567888 |
| Fax Number | 7122566502 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 761718 | IA | -- | |
| 239913 | IA | -- | |
| 106476 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Trivium Life Services by the Centers for Medicare & Medicaid Services?
The Trivium Life Services has been issued the NPI (National Provider Identifier) 1841327673 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Trivium Life Services is located?
The Trivium Life Services is situated at the following address: 1851 Madison Ave Ste 718, Council Bluffs, IA, 515033602.
What is Trivium Life Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Trivium Life Services is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 320800000X.
On what date did the Trivium Life Services receive the assignment of its 1841327673 from the Centers for Medicare & Medicaid Services?
The Trivium Life Services was issued its 1841327673 by the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date was the information pertaining to Trivium Life Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Trivium Life Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-15.
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