Organization Active NPI

Trilogy Healthcare of Portage, LLC

  • Skilled Nursing Facility
  • Portage, MI
National Provider Identifier
1861382087
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TRILOGY HEALTHCARE OF PORTAGE, LLC
Practice address
732 E Centre Ave
Portage, MI 49002-5517
Phone
(269) 218-4244
Fax
(269) 360-6539
NPI assigned
Jul 8, 2025
Organization subpart
Yes
Parent organization
TRILOGY INVESTORS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Cristina Pietrowski
Title
Evp & Clo
Phone
(502) 213-7572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

732 E Centre Ave
Portage, MI 49002-5517

Mailing address

PO Box 221648
Louisville, KY 40252-1648
Phone (502) 213-7572

Other names 1

  • The Lakes at Portage Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1861382087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221648",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402521648",
            "telephone_number": "502-213-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490025517",
            "telephone_number": "269-218-4244",
            "fax_number": "269-360-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY HEALTHCARE OF PORTAGE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILOGY INVESTORS, LLC",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "PIETROWSKI",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "EVP & CLO",
        "authorized_official_telephone_number": "502-213-7572"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lakes at Portage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.