Healthcare Provider Details

I. General information

NPI: 1205844198
Provider Name (Legal Business Name): TRILOGY HEALTHCARE OF MERCER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 LUCKY MAN WAY
HARRODSBURG KY
40330-8978
US

IV. Provider business mailing address

180 LUCKY MAN WAY
HARRODSBURG KY
40330-8978
US

V. Phone/Fax

Practice location:
  • Phone: 859-734-0305
  • Fax:
Mailing address:
  • Phone: 859-734-2953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number100762
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100762
License Number StateKY

VIII. Authorized Official

Name: CRISTINA PIETROWSKI
Title or Position: EVP & CLO
Credential:
Phone: 502-213-7572