Healthcare Provider Details
I. General information
NPI: 1245669431
Provider Name (Legal Business Name): TRANSITIONS CHRONIC CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2013
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 S BOWEN ST STE 400
LONGMONT CO
80501-7039
US
IV. Provider business mailing address
PO BOX 576
LONGMONT CO
80502-0576
US
V. Phone/Fax
- Phone: 303-427-5302
- Fax: 720-475-1830
- Phone: 303-427-5302
- Fax: 720-475-1830
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARK
SARINOPOULOS
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 303-427-5302