Provider Demographics
NPI:1487990479
Name:TRUSTIVA HEALTH CO
Entity type:Organization
Organization Name:TRUSTIVA HEALTH CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GOKCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DONAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-220-4052
Mailing Address - Street 1:1700 W BIG BEAVER RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3530
Mailing Address - Country:US
Mailing Address - Phone:248-220-4052
Mailing Address - Fax:248-282-0499
Practice Address - Street 1:1700 W BIG BEAVER RD
Practice Address - Street 2:SUITE 205
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3530
Practice Address - Country:US
Practice Address - Phone:248-220-4052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care