Active NPI
Trinity Continuing Care Services
- Skilled Nursing Facility
- Grand Rapids, MI
National Provider Identifier
1992892525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 414350
- Legal business name
- TRINITY CONTINUING CARE SERVICES
- Practice address
- 1050 4 Mile Rd NW
Grand Rapids, MI 49544-1505 - Phone
- (616) 784-0646
- Fax
- (616) 784-4552
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven M. Kastner
- Title
- Ceo
- Phone
- (734) 343-6644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 414350 | MI | Primary |
Addresses
Primary practice location
1050 4 Mile Rd NW
Grand Rapids, MI 49544-1505
Mailing address
PO Box 9184
Farmington Hills, MI 48333-9184
Phone (734) 542-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60-2649184 | Medicaid | MI | |
| 09679 | Other | MI | BCBSM |
Other names 1
- Sanctuary at St Marys
National Provider Directory
National Provider DirectoryMember 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": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550534400000",
"number": "1992892525",
"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": "1050 4 MILE RD NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495441505",
"telephone_number": "616-784-0646",
"fax_number": "616-784-4552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY CONTINUING CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2019-02-19",
"status": "A",
"authorized_official_last_name": "KASTNER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "734-343-6644"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "414350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60-2649184",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "09679",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sanctuary at St Marys",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.