Healthcare Provider Details

I. General information

NPI: 1467546655
Provider Name (Legal Business Name): TRINITY CONTINUING CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2022
Certification Date: 09/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33300 UTICA RD
FRASER MI
48026-2017
US

IV. Provider business mailing address

PO BOX 9184
FARMINGTON HILLS MI
48333-9184
US

V. Phone/Fax

Practice location:
  • Phone: 586-293-3300
  • Fax: 586-293-6949
Mailing address:
  • Phone: 734-542-8300
  • Fax: 735-542-8384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number504013
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number504013
License Number StateMI

VIII. Authorized Official

Name: PAMELA SUE LATOVICK
Title or Position: VICE PRESIDENT REIMBURSEMENT
Credential:
Phone: 734-343-6628