Provider Demographics
NPI:1437424371
Name:TRANSAMERICA CARE, INC.
Entity Type:Organization
Organization Name:TRANSAMERICA CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEBI
Authorized Official - Middle Name:KOJI
Authorized Official - Last Name:TUFAA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-742-2225
Mailing Address - Street 1:11536 YANCY CT NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-5940
Mailing Address - Country:US
Mailing Address - Phone:763-742-2225
Mailing Address - Fax:
Practice Address - Street 1:11536 YANCY CT NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-5940
Practice Address - Country:US
Practice Address - Phone:763-742-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-10
Last Update Date:2012-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN357029251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health