Healthcare Provider Details

I. General information

NPI: 1235223405
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: 01/28/2024
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10770 ELIZABETH LAKE RD
WHITE LAKE MI
48386-2136
US

IV. Provider business mailing address

PO BOX 9184
FARMINGTON HILLS MI
48333-9184
US

V. Phone/Fax

Practice location:
  • Phone: 248-618-4100
  • Fax:
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 Number634010
License Number StateMI

VIII. Authorized Official

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