=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396030722
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SENIOR TRANSITIONS INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/14/2011
-----------------------------------------------------
Last Update Date | 06/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1856 PEMBROKE RD STE 5
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27408-1983
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-285-9483
-----------------------------------------------------
Fax | 336-285-9483
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1856 PEMBROKE RD STE 5
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27408-1983
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-285-9483
-----------------------------------------------------
Fax | 336-285-9483
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MISS NADIA M BAILEY
-----------------------------------------------------
Credential | MASTERS OF SCIENCE
-----------------------------------------------------
Telephone | 336-285-9483
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HC4314
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------