Healthcare Provider Details

I. General information

NPI: 1639417744
Provider Name (Legal Business Name): TRANSCEND HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2013
Last Update Date: 05/18/2021
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1787 W DIVISION RD
JASPER IN
47546-8930
US

IV. Provider business mailing address

1787 W DIVISION RD
JASPER IN
47546-8930
US

V. Phone/Fax

Practice location:
  • Phone: 812-301-2088
  • Fax:
Mailing address:
  • Phone: 812-301-2088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number08002654A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05011354A
License Number StateIN

VIII. Authorized Official

Name: DR. STEVEN CASPER
Title or Position: CEO
Credential: DC
Phone: 812-301-2088