Healthcare Provider Details

I. General information

NPI: 1902600869
Provider Name (Legal Business Name): TRINITY SENIOR SERVICES CARE PARTNERING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9525 W BURLEIGH ST
MILWAUKEE WI
53222-3563
US

IV. Provider business mailing address

2462 N PROSPECT AVE
MILWAUKEE WI
53211-4451
US

V. Phone/Fax

Practice location:
  • Phone: 414-625-9905
  • Fax:
Mailing address:
  • Phone: 414-224-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA HORNING
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 414-220-3222