=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144351255
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRANSITIONAL SERVICES INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/08/2007
-----------------------------------------------------
Last Update Date | 09/02/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 389 ELMWOOD AVE
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14222-2209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-874-8182
-----------------------------------------------------
Fax | 716-877-6445
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 389 ELMWOOD AVE
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14222-2209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-874-8182
-----------------------------------------------------
Fax | 716-877-6445
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MR. IHOR ZANKIW
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 716-874-8182
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 320800000X
-----------------------------------------------------
Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------