Healthcare Provider Details

I. General information

NPI: 1750468872
Provider Name (Legal Business Name): TRILOGY HEALTHCARE OF HURON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 NEAL ZICK RD
WILLARD OH
44890-9288
US

IV. Provider business mailing address

1050 NEAL ZICK RD
WILLARD OH
44890-9288
US

V. Phone/Fax

Practice location:
  • Phone: 419-935-6511
  • Fax: 419-933-1630
Mailing address:
  • Phone: 419-935-6511
  • Fax: 419-933-1630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number1643N
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2610N
License Number StateOH

VIII. Authorized Official

Name: CRISTINA PIETROWSKI
Title or Position: EVP & CLO
Credential:
Phone: 502-412-5847