Healthcare Provider Details

I. General information

NPI: 1295240638
Provider Name (Legal Business Name): TRINITY CONTINUING CARE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2017
Last Update Date: 02/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SPRING ST
SPRINGFIELD MA
01105-1211
US

IV. Provider business mailing address

17410 COLLEGE PKWY STE 200
LIVONIA MI
48152-2369
US

V. Phone/Fax

Practice location:
  • Phone: 413-736-5494
  • Fax: 413-746-5075
Mailing address:
  • Phone: 734-343-6628
  • Fax: 734-343-6461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: STEVEN M. KASTNER
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 734-343-6644