Organization Active NPI

Trinity Continuing Care Services

Doing business as Sanctuary at the Shore

  • Skilled Nursing Facility
  • Grand Haven, MI
National Provider Identifier
1972697001
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
704130 Issued in MI
Legal business name
TRINITY CONTINUING CARE SERVICES
Doing business as
Sanctuary at the Shore
Practice address
900 S Beacon Blvd
Grand Haven, MI 49417-2146
Phone
(616) 846-1850
Fax
(616) 846-0971
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Steven Kastner
Title
President and Ceo
Phone
(734) 343-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 704130 MI Primary

Addresses

Primary practice location

900 S Beacon Blvd
Grand Haven, MI 49417-2146

Mailing address

PO Box 9184
Farmington Hills, MI 48333-9184
Phone (734) 542-8300

Other identifiers 2

IdentifierTypeStateIssuer
09968OtherMIBCBSM
60-2623750MedicaidMI

Other names 1

  • Sanctuary at the Shore Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1972697001",
    "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": "734-542-8300",
            "fax_number": "734-542-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172146",
            "telephone_number": "616-846-1850",
            "fax_number": "616-846-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CONTINUING CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "KASTNER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "734-343-6644"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "704130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "09968",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60-2623750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctuary at the Shore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanctuary at the Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.