MEDICARE: TRANSREACH TALENT 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1164878088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSREACH TALENT LLC

Provider Business Mailing Address
First Line	:	197 ROUTE 18 STE 3000
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-1440
Country	:	US
Telephone Number	:	732-214-2648
Fax Number	:

Provider Business Practice Location Address
First Line	:	197 ROUTE 18 STE 3000
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-1440
Country	:	US
Telephone Number	:	732-214-2648
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VENKAT YELLAULA
Credential	:
Telephone Number	:	732-214-2648

Provider Enumeration Date	:	05/10/2016
Last Update Date	:	05/10/2016

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