Provider Demographics
NPI:1083102149
Name:ROCKY MOUNTAIN TRANSITION INITIATIVES, LLC
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN TRANSITION INITIATIVES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-481-7398
Mailing Address - Street 1:164 N DUQUESNE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-4546
Mailing Address - Country:US
Mailing Address - Phone:303-257-4096
Mailing Address - Fax:
Practice Address - Street 1:1144 S PECOS ST APT 311
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-2655
Practice Address - Country:US
Practice Address - Phone:830-481-7398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care