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NPI Code Detail

MEDICARE: TRANSITIONAL COMMUNITY SUPPORT LLC

MEDICARE: TRANSITIONAL COMMUNITY SUPPORT 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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1588515803
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSITIONAL COMMUNITY SUPPORT LLC
Provider Business Mailing Address
First Line : 706 E DAVIS ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5924
Country : US
Telephone Number : 804-510-4922
Fax Number :
Provider Business Practice Location Address
First Line : 1319 CROSS LINK RD
Second Line :
City : RALEIGH
State : NC
Zip : 27610-4846
Country : US
Telephone Number : 804-510-4922
Fax Number :
Authorized Official
Title or Position : CEO
Name : JACQUELINE HALE
Credential :
Telephone Number : 804-510-4922
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “TRANSITIONAL COMMUNITY SUPPORT LLC ” Practice Location

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