MEDICARE: TRANSCENDENT LIVING 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	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1396568002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSCENDENT LIVING LLC

Provider Business Mailing Address
First Line	:	9155 SCHAEFER RD UNIT 158
Second Line	:
City	:	CONVERSE
State	:	TX
Zip	:	78109-1226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	733 N NEW BRAUNFELS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78202-2434
Country	:	US
Telephone Number	:	512-710-8999
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DANA BARNES
Credential	:
Telephone Number	:	512-710-8999

Provider Enumeration Date	:	11/02/2024
Last Update Date	:	01/20/2026

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