1154611549 NPI number — TRANSITIONS SERVICE CENTER INC.

Table of content: (NPI 1154611549)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154611549 NPI number — TRANSITIONS SERVICE CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSITIONS SERVICE CENTER INC.
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:
Provider Other Organization Name Type Code:
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:
1154611549
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
301 MCCULLOUGH DRIVE, 4TH FLOOR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28262
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-909-2887
Provider Business Mailing Address Fax Number:
704-909-2701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 MCCULLOUGH DR FL 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28262-3310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-456-1910
Provider Business Practice Location Address Fax Number:
704-909-2701
Provider Enumeration Date:
04/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
COLLINS
Authorized Official First Name:
BRENDA
Authorized Official Middle Name:
Authorized Official Title or Position:
FOUNDER/CHAIRWOMAN
Authorized Official Telephone Number:
866-456-1910

Provider Taxonomy Codes

  • Taxonomy code: 302R00000X , with the licence number:  C201105500083-1 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343900000X , with the licence number: HC4590 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 302R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 385HR2065X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X , with the licence number: HC4590 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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