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ST PAUL'S RETIREMENT COMMUNITY
NPI 1780768754
Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies in South Bend, IN

Active since October 25, 2006CLIA 15D0861525 · Waiver
3602 S IRONWOOD DR, SOUTH BEND, IN 46614(219) 291-8205(219) 291-0858 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Paul's Retirement Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST PAUL'S RETIREMENT COMMUNITY (NPI 1780768754) is a healthcare organization registered as a nursing facility supplies in South Bend, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jackie Harris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780768754
Entity TypeOrganization
Primary Taxonomy332BN1400X
Legal Business NameTRINITY CONTINUING CARE SERVICES INDIANA INC
Location Address3602 S IRONWOOD DRSouth Bend, IN 46614-2453
Mailing AddressPo Box 9184Farmington Hills, MI 48333-9184 · (248) 305-7919 · Fax (248) 305-7677
Phone(219) 291-8205
Fax(219) 291-0858
Organization SubpartNo
Authorized OfficialJackie HarrisCeo · (248) 305-7688
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 24, 2008
✔ NPI 1780768754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesSuppliers
Taxonomy Code332BN1400X
License✔ Licensed in IN · 05-001201-1
3602 S IRONWOOD DR, South Bend, IN 46614
Open in Google Maps ↗

Other Names 1

Doing Business AsSt Paul's Retirement Community

Other Identifiers 2

Medicaid100380860IN
Medicare NSC0584060002IN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0861525

St Pauls · South Bend, IN
Active · expires Aug 31, 2026
CLIA Number15D0861525
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJeffry Billhimer
Laboratory Phone(219) 291-8205
Laboratory LocationSt Pauls3602 S Ironwood Dr, South Bend, IN 46614
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARI GNANASEKERAM, PC
Internal Medicine (Cardiovascular Disease)
3602 S IRONWOOD DR, STE 800W
SOUTH BEND, IN 46614
St. Joseph County (732) 280-6000
TRINITY CONTINUING CARE SERVICES INDIANA INC
Assisted Living Facility
3602 S IRONWOOD DR
SOUTH BEND, IN 46614
St. Joseph County (574) 299-2250
ADAMS COUNTY MEMORIAL HOSPITAL
Skilled Nursing Facility
3602 S IRONWOOD DR
SOUTH BEND, IN 46614
St. Joseph County (574) 299-2250
TRINITY CONTINUING CARE SERVICES
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
3602 S IRONWOOD DR
SOUTH BEND, IN 46614
St. Joseph County (219) 291-8205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trinity Continuing Care Services Indiana Inc's NPI number?

The NPI number for Trinity Continuing Care Services Indiana Inc is 1780768754. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as St Paul's Retirement Community.

Where is Trinity Continuing Care Services Indiana Inc located?

Trinity Continuing Care Services Indiana Inc is located at 3602 S Ironwood Dr, South Bend, IN 46614. The listed phone number is (219) 291-8205.

What is Trinity Continuing Care Services Indiana Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Nursing Facility Supplies, with taxonomy code 332BN1400X.

Does Trinity Continuing Care Services Indiana Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0861525) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trinity Continuing Care Services Indiana Inc was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.