Healthcare Provider Details

I. General information

NPI: 1972697001
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: 03/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S BEACON BLVD
GRAND HAVEN MI
49417-2146
US

IV. Provider business mailing address

PO BOX 9184
FARMINGTON HILLS MI
48333-9184
US

V. Phone/Fax

Practice location:
  • Phone: 616-846-1850
  • Fax: 616-846-0971
Mailing address:
  • Phone: 734-542-8300
  • Fax: 734-542-8384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number704130
License Number StateMI

VIII. Authorized Official

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