Provider Demographics
NPI:1346958956
Name:ACTION TRANSITIONS AGENCY LLC
Entity Type:Organization
Organization Name:ACTION TRANSITIONS AGENCY LLC
Other - Org Name:ACTION TRANSITIONS AGENCY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBREHAWARIAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-289-2658
Mailing Address - Street 1:14901 E HAMPDEN AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5037
Mailing Address - Country:US
Mailing Address - Phone:720-289-2658
Mailing Address - Fax:
Practice Address - Street 1:14901 E HAMPDEN AVE STE 235
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5037
Practice Address - Country:US
Practice Address - Phone:720-289-2658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-11
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management