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Contact Information

TRILOGY HEALTHCARE OF LUCAS, LLC
6935 MONCLOVA ROAD
MAUMEE, OH43537
 Phone: 419-866-3030
 Fax: 419-866-3031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for TRILOGY HEALTHCARE OF LUCAS, LLC

NPI # 1740533363
LBN Legal business name TRILOGY HEALTHCARE OF LUCAS, LLC
Authorized official KATHY CORBIN - (DIRECTOR OF LICENSING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/19/2012
Last updated 11/30/2017 - About 9 years ago
Identifiers
OH Medicaid 0076197
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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