MEDICARE: TRANSITIONAL SERVICES, INC.

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1164475521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 4795
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47724-0795
Country	:	US
Telephone Number	:	812-433-3333
Fax Number	:	812-433-3322

Provider Business Practice Location Address
First Line	:	1917 S LIBERTY DR
Second Line	:
City	:	BLOOMINGTON
State	:	IN
Zip	:	47403-5146
Country	:	US
Telephone Number	:	812-433-3333
Fax Number	:	812-433-3322

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KENNETH S GOLDSTEIN
Credential	:	PH.D.
Telephone Number	:	812-433-3333

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/22/2020

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Directions to “TRANSITIONAL SERVICES, INC. ” Practice Location

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