Healthcare Provider Details

I. General information

NPI: 1073810180
Provider Name (Legal Business Name): TRANSITIONS HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23601 AVALON BLVD STE 207
CARSON CA
90745-5581
US

IV. Provider business mailing address

23601 AVALON BLVD STE 207
CARSON CA
90745-5581
US

V. Phone/Fax

Practice location:
  • Phone: 310-513-0687
  • Fax: 310-513-0689
Mailing address:
  • Phone: 310-513-0687
  • Fax: 310-513-0689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550000948
License Number StateCA

VIII. Authorized Official

Name: CAROLINA FUNK
Title or Position: PRESIDENT
Credential:
Phone: 310-513-0687