Healthcare Provider Details

I. General information

NPI: 1295810752
Provider Name (Legal Business Name): TRINITY CONTINUING CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025
Certification Date:
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: 248-305-7919
  • Fax: 248-305-7677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number504013
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JACKIE HARRIS
Title or Position: CEO
Credential:
Phone: 248-305-7688