Healthcare Provider Details

I. General information

NPI: 1932293073
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: 02/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 HARVEY ST
MUSKEGON MI
49442-2308
US

IV. Provider business mailing address

PO BOX 9184
FARMINGTON HILLS MI
48333-9184
US

V. Phone/Fax

Practice location:
  • Phone: 231-773-9121
  • Fax: 231-777-3983
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 Number614110
License Number StateMI

VIII. Authorized Official

Name: KEN ROBBINS
Title or Position: CEO
Credential:
Phone: 734-542-8348