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JAYS RESIDENTIAL LLC - TREVIS HOUSE
NPI 1639296270
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grandview, MO

Active since March 26, 2007
12731 RICHMOND AVE, GRANDVIEW, MO 64030(816) 456-6461(816) 965-0131 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jays Residential Llc - Trevis House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYS RESIDENTIAL LLC - TREVIS HOUSE (NPI 1639296270) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Grandview, Missouri and active in the NPI registry since March 2007. The organization lists Jason Lee Rudolph, Director, as its authorized official.

NPPES Registry Identity

NPI1639296270
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameJAYS RESIDENTIAL LLC - TREVIS HOUSE
Location Address12731 RICHMOND AVEGrandview, MO 64030-2160
Mailing Address12731 Richmond AveGrandview, MO 64030-2160 · (816) 456-6461 · Fax (816) 965-0131
Phone(816) 456-6461
Fax(816) 965-0131
Organization SubpartNo
Authorized OfficialJason Lee RudolphDirector · (816) 456-6461
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639296270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
12731 RICHMOND AVE, Grandview, MO 64030
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Other Identifiers 1

Medicaid85603516MO

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAYS RESIDENTIAL, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
12731 RICHMOND AVE
GRANDVIEW, MO 64030
Jackson County (816) 965-0131
JAYS RESIDENTIAL, LLC - GRANDVIEW II
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
12731 RICHMOND AVE
GRANDVIEW, MO 64030
Jackson County (816) 456-6461
JAYS RESIDENTIAL ISL
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
12731 RICHMOND AVE
GRANDVIEW, MO 64030
Jackson County (816) 456-6461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jays Residential LLC - Trevis House's NPI number?

The NPI number for Jays Residential LLC - Trevis House is 1639296270. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Jays Residential LLC - Trevis House located?

Jays Residential LLC - Trevis House is located at 12731 Richmond Ave, Grandview, MO 64030. The listed phone number is (816) 456-6461.

What is Jays Residential LLC - Trevis House's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Jays Residential LLC - Trevis House was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.