Provider Demographics
NPI:1346502523
Name:TRANSITIONS HOME CARE LTD
Entity Type:Organization
Organization Name:TRANSITIONS HOME CARE LTD
Other - Org Name:TRANSITIONS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROVNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-645-8024
Mailing Address - Street 1:11030 DOUGLAS DRIVE NORTH
Mailing Address - Street 2:
Mailing Address - City:CHAMPLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55316
Mailing Address - Country:US
Mailing Address - Phone:763-200-5406
Mailing Address - Fax:763-657-0253
Practice Address - Street 1:11030 DOUGLAS DRIVE NORTH
Practice Address - Street 2:
Practice Address - City:CHAMPLIN
Practice Address - State:MN
Practice Address - Zip Code:55316
Practice Address - Country:US
Practice Address - Phone:763-200-5406
Practice Address - Fax:763-657-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health