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Jays Residential LLC - Trevis House

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Grandview, MO · enumerated 2007 · authorized official Jason Rudolph, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639296270

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Registry record

Entity type Organization (Type 2)
Legal business name Jays Residential LLC - Trevis House
Practice address 12731 Richmond Ave, Grandview, MO, 64030
Phone (816) 456-6461
Fax (816) 965-0131
Enumeration date Mar 26, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Jason Rudolph
Title Director
Phone (816) 456-6461

Other identifiers

Identifier Type State Issuer
85603516 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jays Residential LLC - Trevis House?
The NPI for Jays Residential LLC - Trevis House is 1639296270, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jays Residential LLC - Trevis House?
NPPES lists Jason Rudolph (Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.