Provider Demographics
NPI:1215038039
Name:TRANSICARE, LLC
Entity Type:Organization
Organization Name:TRANSICARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:HEROD
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:662-534-6500
Mailing Address - Street 1:1536 HIGHWAY 9 S
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38828-9004
Mailing Address - Country:US
Mailing Address - Phone:662-534-6500
Mailing Address - Fax:662-534-0566
Practice Address - Street 1:1536 HIGHWAY 9 S
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38828-9004
Practice Address - Country:US
Practice Address - Phone:662-534-6500
Practice Address - Fax:662-534-0566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based