1194012096 NPI number — TRANSITIONAL CARE SOLUTIONS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194012096 NPI number — TRANSITIONAL CARE SOLUTIONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSITIONAL CARE SOLUTIONS
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:
6
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:
1194012096
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 NESHAMINY INTERPLEX
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
TREVOSE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19053
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-750-1772
Provider Business Mailing Address Fax Number:
215-750-1775

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 NESHAMINY INTERPLEX
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
TREVOSE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-750-1772
Provider Business Practice Location Address Fax Number:
215-750-1775
Provider Enumeration Date:
06/30/2011

Additional Information

Authorized Official

Authorized Official Last Name:
TURNER
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
DOUGLAS
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
215-750-1772

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1026402160003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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