Provider Demographics
NPI:1437689817
Name:TRANSFORMATIONS CARE
Entity Type:Organization
Organization Name:TRANSFORMATIONS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:MALINIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-410-7825
Mailing Address - Street 1:1050 WIGWAM PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-8174
Mailing Address - Country:US
Mailing Address - Phone:702-410-7825
Mailing Address - Fax:
Practice Address - Street 1:830 MILL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1421
Practice Address - Country:US
Practice Address - Phone:775-538-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty