Healthcare Provider Details

I. General information

NPI: 1629794748
Provider Name (Legal Business Name): TRILOGY HEALTHCARE OF LAGRANGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 EAST PEAK ROAD
LAGRANGE KY
40031
US

IV. Provider business mailing address

2000 E PEAK RD
LA GRANGE KY
40031-8401
US

V. Phone/Fax

Practice location:
  • Phone: 502-516-3176
  • Fax: 502-516-3177
Mailing address:
  • Phone: 502-516-3176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CRISTINA PIETROWSKI
Title or Position: EVP & CLO
Credential:
Phone: 502-412-5847