1780998310 NPI number — TRANSITIONS HOME HEALTHCARE, LLC

Table of content: (NPI 1780998310)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780998310 NPI number — TRANSITIONS HOME HEALTHCARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSITIONS HOME HEALTHCARE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
@HOME SENIOR CARE OF CENTRAL FLORIDA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780998310
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7025 COUNTY ROAD 46A
Provider Second Line Business Mailing Address:
SUITE 1071 #106
Provider Business Mailing Address City Name:
HEATHROW
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32746-4721
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-304-6633
Provider Business Mailing Address Fax Number:
407-378-4986

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4305 SAINT JOHNS PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANFORD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32771-6381
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-304-6633
Provider Business Practice Location Address Fax Number:
407-378-4986
Provider Enumeration Date:
08/06/2010

Additional Information

Authorized Official

Authorized Official Last Name:
DAMBRAUSKAS
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
877-307-6633

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  231722 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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