Provider Demographics
NPI:1386192524
Name:TRINITY HEALTH MANAGEMENT
Entity Type:Organization
Organization Name:TRINITY HEALTH MANAGEMENT
Other - Org Name:TRINITY SENIOR COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-899-4154
Mailing Address - Street 1:10024 SKOKIE BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-9944
Mailing Address - Country:US
Mailing Address - Phone:224-233-1305
Mailing Address - Fax:
Practice Address - Street 1:5555 BURKE RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-6301
Practice Address - Country:US
Practice Address - Phone:608-249-5776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI138153104A0630X
WI138163104A0630X
WI138173104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances