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NPI Code Detail

MEDICARE: TRINITY CONTINUING CARE SERVICE

MEDICARE: TRINITY CONTINUING CARE SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1521945054OTHERMDTAX ID
2930907047OTHERINTAX ID
3382719605OTHERMITAX ID

General Provider Information

NPI Number : 1295917706
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY CONTINUING CARE SERVICE
Provider Business Mailing Address
First Line : PO BOX 530009
Second Line :
City : LIVONIA
State : MI
Zip : 48153-0009
Country : US
Telephone Number : 734-343-6628
Fax Number : 312-957-2672
Provider Business Practice Location Address
First Line : 20555 VICTOR PKWY
Second Line :
City : LIVONIA
State : MI
Zip : 48152-7031
Country : US
Telephone Number : 734-343-6628
Fax Number : 312-957-2672
Authorized Official
Title or Position : TREASURER, CFO
Name : MARCUS BOWENS
Credential :
Telephone Number : 770-283-4006
Provider Enumeration Date : 11/27/2007
Last Update Date : 11/19/2025

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Directions to “TRINITY CONTINUING CARE SERVICE ” Practice Location

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