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TRANSITIONAL SERVICES SUB LLC NPI 1104085349


NPI Information

NPI: 1104085349
Provider Name: TRANSITIONAL SERVICES SUB, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2009 MAXWELL AVE
EVANSVILLE, IN
ZIP 47711
Phone: (812) 433-3333
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TRANSITIONAL SERVICES SUB, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Evansville, IN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. TRANSITIONAL SERVICES SUB, LLC NPI is 1104085349. The provider is registered as an organization entity type.

The provider's business location address is:

2009 MAXWELL AVE
EVANSVILLE, IN
ZIP 47711-359
Phone: (812) 433-3333
Fax: (812) 433-3322

The provider's authorized official is Daniel Mohnke .
The authorized official title is State Director and has the following contact phone number (317) 581-2380.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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