MEDICARE: TRANSITIONS INDIANA, 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1376998781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONS INDIANA, LLC

Provider Business Mailing Address
First Line	:	8913 N PRAIRIE POINTE RD
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61615-1577
Country	:	US
Telephone Number	:	847-515-1505
Fax Number	:

Provider Business Practice Location Address
First Line	:	8435 KEYSTONE CROSSING
Second Line	:	SUITE 108
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-4373
Country	:	US
Telephone Number	:	317-519-6145
Fax Number	:	317-218-3504

Authorized Official
Title or Position	:	CFO
Name	:	OMAR KHAMIS
Credential	:
Telephone Number	:	847-515-1505

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	03/06/2025

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Directions to “TRANSITIONS INDIANA, LLC ” Practice Location

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