Healthcare Provider Details

I. General information

NPI: 1134042898
Provider Name (Legal Business Name): TRANSITION MOBILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 OLD WIRE RD W
BENNETTSVILLE SC
29512-5624
US

IV. Provider business mailing address

1040 OLD WIRE RD W
BENNETTSVILLE SC
29512-5624
US

V. Phone/Fax

Practice location:
  • Phone: 910-883-3620
  • Fax:
Mailing address:
  • Phone: 910-883-3620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TANESHA BRIGHT
Title or Position: OWNER
Credential: NA
Phone: 910-883-3620