Healthcare Provider Details

I. General information

NPI: 1861905218
Provider Name (Legal Business Name): TRANSFORMATIONS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2017
Last Update Date: 11/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 MILL ST
RENO NV
89502-1421
US

IV. Provider business mailing address

1050 WIGWAM PKWY STE 100
HENDERSON NV
89074-8174
US

V. Phone/Fax

Practice location:
  • Phone: 775-538-6700
  • Fax:
Mailing address:
  • Phone: 702-410-7825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: FRANCES MALINIS
Title or Position: COMPLIANCE DIRECTOR
Credential:
Phone: 702-410-7825