Healthcare Provider Details

I. General information

NPI: 1487965877
Provider Name (Legal Business Name): TRINITY HEALTH-MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 EAST HURON RIVER DRIVE SUITE 180
YPSILANTI MI
48197
US

IV. Provider business mailing address

5301 EAST HURON RIVER DRIVE SUITE 180
YPSILANTI MI
48197
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-6163
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN O'CONNOR
Title or Position: VICE PRESIDENT - FINANCE
Credential:
Phone: 734-712-4246