Healthcare Provider Details

I. General information

NPI: 1154611549
Provider Name (Legal Business Name): TRANSITIONS SERVICE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MCCULLOUGH DR FL 4
CHARLOTTE NC
28262-3310
US

IV. Provider business mailing address

301 MCCULLOUGH DRIVE, 4TH FLOOR
CHARLOTTE NC
28262
US

V. Phone/Fax

Practice location:
  • Phone: 866-456-1910
  • Fax: 704-909-2701
Mailing address:
  • Phone: 704-909-2887
  • Fax: 704-909-2701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC4590
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License NumberC201105500083-1
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberHC4590
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: BRENDA COLLINS
Title or Position: FOUNDER/CHAIRWOMAN
Credential: BA
Phone: 866-456-1910