1699121509 NPI number — TRANSITIONS HOME HEALTH CARE & HOSPICE

Table of content: (NPI 1699121509)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699121509 NPI number — TRANSITIONS HOME HEALTH CARE & HOSPICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSITIONS HOME HEALTH CARE & HOSPICE
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:
1699121509
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/14/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22225 BRISTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COOLVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45723-9781
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-860-3201
Provider Business Mailing Address Fax Number:
740-860-3205

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
42123 STATE ROUTE 7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COOLVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45723-9088
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-860-3201
Provider Business Practice Location Address Fax Number:
740-860-3205
Provider Enumeration Date:
05/10/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CREMEANS-SHAMBLIN
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
C
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
740-860-3201

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: 0323397 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com