Provider Demographics
NPI:1508272238
Name:CASA-TRINITY, INC.
Entity Type:Organization
Organization Name:CASA-TRINITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-302-0442
Mailing Address - Street 1:911 STOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-1428
Mailing Address - Country:US
Mailing Address - Phone:607-737-5215
Mailing Address - Fax:607-737-5219
Practice Address - Street 1:911 STOWELL ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-1428
Practice Address - Country:US
Practice Address - Phone:607-737-5215
Practice Address - Fax:607-737-5219
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASA OF LIVINGSTON COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-02
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18-006023261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder