NPIMap

Organization Active NPI

Trinity Continuing Care Services Indiana Inc

Doing business as St. Paul's

  • Assisted Living Facility
  • South Bend, IN
National Provider Identifier
1417219395
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TRINITY CONTINUING CARE SERVICES INDIANA INC
Doing business as
St. Paul's
Practice address
3602 S Ironwood Dr
South Bend, IN 46614-2453
Phone
(574) 299-2250
Fax
(574) 299-2363
NPI assigned
Jun 15, 2012
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffry Billlhimer, RN
Title
Executive Administrator
Phone
(574) 284-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

3602 S Ironwood Dr
South Bend, IN 46614-2453

Mailing address

3602 S Ironwood Drive
South Bend, IN 46614
Phone (574) 299-2250

Other identifiers 1

IdentifierTypeStateIssuer
300030439MedicaidIN

Other names 1

  • St. Paul's Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trinity Continuing Care Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1417219395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 S IRONWOOD DRIVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46614",
            "telephone_number": "574-299-2250",
            "fax_number": "574-299-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 S IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142453",
            "telephone_number": "574-299-2250",
            "fax_number": "574-299-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CONTINUING CARE SERVICES INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "BILLLHIMER",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "574-284-9060",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300030439",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Paul's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.