Provider Demographics
NPI:1013419282
Name:TRANSCENDENT MULTISERVICE ASSIST, LLC
Entity Type:Organization
Organization Name:TRANSCENDENT MULTISERVICE ASSIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RNFA
Authorized Official - Prefix:
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-382-1987
Mailing Address - Street 1:9526 ARGYLE FOREST BLVD UNIT B2
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32222-2827
Mailing Address - Country:US
Mailing Address - Phone:904-382-1987
Mailing Address - Fax:
Practice Address - Street 1:15255 MAX LEGGETT PKWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-7273
Practice Address - Country:US
Practice Address - Phone:904-382-1987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9166964163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014090900Medicaid
FL1255735924OtherNPI TYPE 1