CASA-TRINITY INC. NPI 1023054376

NPI Information

  • NPI: 1023054376
  • Provider Name: CASA-TRINITY, INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • CLIA Number: 33D2327388
  • Address: 4612 MILLENNIUM DRIVE
    GENESEO, NY
    ZIP 14454
  • Phone: (585) 443-2018

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NPI Details

CASA-TRINITY, INC. is a rehabilitation and substance use disorder clinic center in Geneseo, NY. CASA-TRINITY, INC. NPI is 1023054376. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4612 MILLENNIUM DRIVE
GENESEO, NY
ZIP 14454-418
Phone: (585) 443-2018
Fax: (585) 991-5013

The provider's authorized official is Rebecca O .
The authorized official title is Credentialing Supervisor and has the following contact phone number (607) 302-0442.

The CLIA number assigned to this NPI record is 33D2327388 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 11/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneNo
2251S00000XCommunity/Behavioral HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4324500000XSubstance Abuse Rehabilitation FacilityNo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100689689MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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