SHORE HAVEN – NPI #1366531246
Durable Medical Equipment & Medical Supplies

SHORE HAVEN is a DME supplier located in GRAND HAVEN, MI. NPPES has assigned the NPI number 1366531246 to SHORE HAVEN on October 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHORE HAVEN” is a dba name, the actual legal business name for this organization is TRINITY CONTINUING CARE SERVICES. The primary taxonomy selected by this provider is 332BP3500X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHORE HAVEN below.

NPI Profile for
TRINITY CONTINUING CARE SERVICES

NPI Number
1366531246
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRINITY CONTINUING CARE SERVICES
Doing Business As (dba): SHORE HAVEN
Primary location
900 S BEACON BLVD
GRAND HAVEN, MI 49417-2146
Phone: (616) 846-1850 Fax: (616) 846-0791
Mailing address
PO BOX 9184
FARMINGTON HILLS, MI 48333-9184
Phone: (248) 305-7919 Fax: (248) 305-7677
Organization Subpart
No
Authorized Official
JACKIE HARRIS
CEO
Phone: (248) 305-7688
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332BP3500X
- Durable Medical Equipment & Medical Supplies / Parenteral & Enteral Nutrition (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.