Healthcare Provider Details

I. General information

NPI: 1811305451
Provider Name (Legal Business Name): TRANSITIONS HEALTHCARE CAPITOL CITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 25TH ST SE
WASHINGTON DC
20020-3409
US

IV. Provider business mailing address

2 LOCUST LN STE 204
WESTMINSTER MD
21157-5075
US

V. Phone/Fax

Practice location:
  • Phone: 202-889-3600
  • Fax:
Mailing address:
  • Phone: 410-371-4041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MARC FELDMAN
Title or Position: MEMBER
Credential:
Phone: 410-371-4041