Provider Demographics
NPI:1235983024
Name:TECHTASTIC TRANSITIONS LLC
Entity Type:Organization
Organization Name:TECHTASTIC TRANSITIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRANTHI
Authorized Official - Middle Name:KUMAR REDDY
Authorized Official - Last Name:MANDHADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:872-250-4066
Mailing Address - Street 1:5461 N EAST RIVER RD APT 712
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1062
Mailing Address - Country:US
Mailing Address - Phone:872-250-4066
Mailing Address - Fax:
Practice Address - Street 1:5461 N EAST RIVER RD APT 712
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1062
Practice Address - Country:US
Practice Address - Phone:872-250-4066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies