NPIMap

Organization Active NPI

Trinity Continuing Care Services Indiana Inc

  • Nursing Facility Supplies (DME)
  • South Bend, IN
National Provider Identifier
1780768754
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
License
05-001201-1 Issued in IN
Legal business name
TRINITY CONTINUING CARE SERVICES INDIANA INC
Practice address
3602 S Ironwood Dr
South Bend, IN 46614-2453
Phone
(219) 291-8205
Fax
(219) 291-0858
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Jackie Harris
Title
Ceo
Phone
(248) 305-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 05-001201-1 IN Primary

Addresses

Primary practice location

3602 S Ironwood Dr
South Bend, IN 46614-2453

Mailing address

PO Box 9184
Farmington Hills, MI 48333-9184
Phone (248) 305-7919

Other identifiers 1

IdentifierTypeStateIssuer
100380860MedicaidIN

Other names 1

  • St Paul's Retirement Community 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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1780768754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9184",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483339184",
            "telephone_number": "248-305-7919",
            "fax_number": "248-305-7677"
        },
        {
            "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": "219-291-8205",
            "fax_number": "219-291-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CONTINUING CARE SERVICES INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-305-7688"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IN",
            "license": "05-001201-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100380860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Paul's Retirement Community",
            "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 Jul 24, 2008; 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.