Healthcare Provider Details

I. General information

NPI: 1851369250
Provider Name (Legal Business Name): TRANSITION HEALTHCARE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 08/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 ST RT 60 SUITE 3
VERMILLION OH
44089
US

IV. Provider business mailing address

1605 ST RT 60 SUITE 3
VERMILLION OH
44089
US

V. Phone/Fax

Practice location:
  • Phone: 440-967-2508
  • Fax: 440-967-4023
Mailing address:
  • Phone: 440-967-2508
  • Fax: 440-967-4023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL A FREEMAN
Title or Position: PRESIDENT
Credential: PT
Phone: 440-967-2508