Provider Demographics
NPI:1154611549
Name:TRANSITIONS SERVICE CENTER INC.
Entity type:Organization
Organization Name:TRANSITIONS SERVICE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CHAIRWOMAN
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:866-456-1910
Mailing Address - Street 1:301 MCCULLOUGH DRIVE, 4TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262
Mailing Address - Country:US
Mailing Address - Phone:704-909-2887
Mailing Address - Fax:704-909-2701
Practice Address - Street 1:301 MCCULLOUGH DR FL 4
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-3310
Practice Address - Country:US
Practice Address - Phone:866-456-1910
Practice Address - Fax:704-909-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251J00000X, 253Z00000X, 302R00000X, 385HR2065X
NCHC4590253Z00000X, 343900000X
NCC201105500083-1302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child