Healthcare Provider Details

I. General information

NPI: 1689863888
Provider Name (Legal Business Name): TRILOGY HEALTHCARE OF NORTH BALTIMORE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 08/27/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 STERLING DR
NORTH BALTIMORE OH
45872-9508
US

IV. Provider business mailing address

600 STERLING DR
NORTH BALTIMORE OH
45872-9508
US

V. Phone/Fax

Practice location:
  • Phone: 419-257-2421
  • Fax: 419-257-2515
Mailing address:
  • Phone: 419-257-2421
  • Fax: 419-257-2515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1652
License Number StateOH

VIII. Authorized Official

Name: MRS. CRISTINA PIETROWSKI
Title or Position: SVP & CHIEF LEGAL OFFICER
Credential:
Phone: 502-213-7572