Provider Demographics
NPI:1821649096
Name:TRINITY HEALTHCARE INC.
Entity Type:Organization
Organization Name:TRINITY HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF THERAPY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MELVYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-548-4663
Mailing Address - Street 1:1200 ROOSEVELT PLACE , UNIT A
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO,
Mailing Address - State:IN
Mailing Address - Zip Code:46383-8427
Mailing Address - Country:US
Mailing Address - Phone:219-548-4663
Mailing Address - Fax:219-477-5920
Practice Address - Street 1:4300 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360
Practice Address - Country:US
Practice Address - Phone:219-548-4663
Practice Address - Fax:219-477-5920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty