TRINITY CONTINUING CARE SERVICES INDIANA INC (NPI# 1780768754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780768754 |
| Entity Type | Organization |
| Organization Name | TRINITY CONTINUING CARE SERVICES INDIANA INC |
| Other Organization Name | ST PAUL'S RETIREMENT COMMUNITY |
| Practice Address |
3602 S Ironwood Dr South Bend IN 46614-2453 |
| Mailing Address |
Po Box 9184 Farmington Hills MI 48333-9184 |
| Practice Telephone | 2192918205 |
| Practice Fax Number | 2192910858 |
| Mailing Telephone | 2483057919 |
| Mailing Fax Number | 2483057677 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | JACKIE HARRIS (CEO) |
| Authorized Official Telephone | 2483057688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
05-001201-1 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100380860 | 05 |
| Other Name | Type Code |
|---|---|
| St Paul's Retirement Community | Doing Business As Name - Organization |
| Street Address |
3602 S IRONWOOD DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-2453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609869064 | Adams County Memorial Hospital | Assisted Living Facility | 3602 S Ironwood Dr, South Bend, IN 46614-2453 | 2005-08-31 |
| 1093252678 | Hari Gnanasekeram, PC | Internal Medicine | 3602 S Ironwood Dr, Ste 800w, South Bend, IN 46614-2453 | 2017-01-20 |
| 1417219395 | Sanctuary At St Paul's | Skilled Nursing Facility | 3602 S Ironwood Dr, South Bend, IN 46614-2453 | 2012-06-15 |
| 1942384920 | Trinity Continuing Care Services | Durable Medical Equipment & Medical Supplies | 3602 S Ironwood Dr, South Bend, IN 46614-2453 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689758575 | Trinity Continuing Care Services | Durable Medical Equipment & Medical Supplies | 17475 Dugdale Dr, South Bend, IN 46635-1545 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750620720 | Midwest Therapy Systems, LLC | Durable Medical Equipment & Medical Supplies | 2564 Chrystal Woods Dr, Kokomo, IN 46901-5883 | 2013-02-11 |
| 1144236415 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1720 Alber St, Wabash, IN 46992-1015 | 2006-07-31 |
| 1982627329 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 200 26th St, Logansport, IN 46947-2063 | 2006-07-26 |
| 1508889940 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 548 S 100 W, Hartford City, IN 47348-9507 | 2006-07-26 |
| 1669495008 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 5909 Lute Rd, Portage, IN 46368-4824 | 2006-07-26 |
| 1427071869 | Johnson Memorial Hospital. | Durable Medical Equipment & Medical Supplies | 11563 W 300 S, Dunkirk, IN 47336-9044 | 2006-07-26 |
| 1134142573 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 612 E 11th St, Rushville, IN 46173-1319 | 2006-07-26 |
| 1427071687 | Johnson Memorial Hospital. | Durable Medical Equipment & Medical Supplies | 220 E Dunn Road, New Carlisle, IN 46552 | 2006-07-26 |
| 1437172871 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 2901 W 37th Ave, Hobart, IN 46342-1727 | 2006-07-26 |
| 1952324394 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 524 Anderson Rd, Chesterfield, IN 46017-1514 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
Please comment or provide details below to improve the information on TRINITY CONTINUING CARE SERVICES INDIANA INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.