Provider Demographics
NPI:1487651212
Name:TRANSITIONS AT HOME, INC.
Entity Type:Organization
Organization Name:TRANSITIONS AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-980-0611
Mailing Address - Street 1:640 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:WI
Mailing Address - Zip Code:53121-1104
Mailing Address - Country:US
Mailing Address - Phone:262-723-2700
Mailing Address - Fax:262-723-2704
Practice Address - Street 1:N6359 US HIGHWAY 12
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:WI
Practice Address - Zip Code:53121-3955
Practice Address - Country:US
Practice Address - Phone:262-723-2700
Practice Address - Fax:262-723-2704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1195251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1487651212OtherNPI
WI1195OtherWISCONSIN STATE LICENSE
WI41513700Medicaid
WI=========OtherEIN