MEDICARE: TRANSITIONAL LIVING SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	104100000X	Social Worker
4	1041C0700X	Clinical Social Worker
5	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse
6	2084P0800X	Psychiatry Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DD9253	OTHER	WI	RAILROAD MEDICARE PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457395212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONAL LIVING SERVICES, INC

Provider Business Mailing Address
First Line	:	1040 S 70TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53214-3164
Country	:	US
Telephone Number	:	414-476-9675
Fax Number	:	414-615-0627

Provider Business Practice Location Address
First Line	:	3710 DOUGLAS AVE
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53402-3227
Country	:	US
Telephone Number	:	262-639-8084
Fax Number	:	262-639-8086

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	ROBERT E WRENN
Credential	:
Telephone Number	:	414-476-9631

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	02/19/2008

Similar Medicare Providers

1881611226 — KENYA KAY BRIGHT MS
Practice Location Address:

3710 DOUGLAS AVENUE
RACINE, WI
53402-3227

Practice Phone: 262-639-8084
Practice Fax: 262-639-8086

1831381839 — TRANSITIONAL LIVING SERVICES, INC
Practice Location Address:

3710 DOUGLAS AVE
RACINE, WI
53402-3227

Practice Phone: 262-639-8084
Practice Fax: 262-639-8086

1184923203 — TRANSITIONAL LIVING SERVICES, INC
Practice Location Address:

3710 DOUGLAS AVE
RACINE, WI
53402-3227

Practice Phone: 262-639-8084
Practice Fax: 262-639-8086

1518967470 — MR. RONALD L ALLEN MD
Practice Location Address:

4060 N MAIN ST
RACINE, WI
53402-3121

Practice Phone: 262-752-2020
Practice Fax:

1639179047 — DR. RICHARD JAY STULTZ DDS
Practice Location Address:

3900 N BAY DR
RACINE, WI
53402-3632

Practice Phone: 262-639-1600
Practice Fax:

1396728929 — MRS. JANE MARIE GROSS RN
Practice Location Address:

1625 4 1/2 MILE RD
RACINE, WI
53402-1805

Practice Phone: 262-681-9072
Practice Fax:

Directions to “TRANSITIONAL LIVING SERVICES, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.