MEDICARE: COMPASSIONATE TRANSITIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	992820	CO

General Provider Information

NPI Number	:	1033364443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE TRANSITIONS LLC

Provider Business Mailing Address
First Line	:	3045 YATES ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-1650
Country	:	US
Telephone Number	:	303-433-3326
Fax Number	:

Provider Business Practice Location Address
First Line	:	3045 YATES ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-1650
Country	:	US
Telephone Number	:	303-433-3326
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	KIM YUSKIS
Credential	:	LCSW
Telephone Number	:	303-433-3326

Provider Enumeration Date	:	11/26/2008
Last Update Date	:	05/11/2009

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