Healthcare Provider Details

I. General information

NPI: 1821707407
Provider Name (Legal Business Name): TRANSITIONS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date: 04/01/2025
Reactivation Date: 04/25/2025

III. Provider practice location address

15500 ROOSEVELT BLVD STE 101
CLEARWATER FL
33760-3430
US

IV. Provider business mailing address

2655 ULMERTON RD STE 410
CLEARWATER FL
33762-3337
US

V. Phone/Fax

Practice location:
  • Phone: 727-214-4622
  • Fax:
Mailing address:
  • Phone: 917-751-8706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JAY AREM
Title or Position: MANAGER
Credential:
Phone: 917-751-8706