Provider Demographics
NPI:1619536570
Name:A TRANSITION TO INDEPENDENCE
Entity Type:Organization
Organization Name:A TRANSITION TO INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADJA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MARION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-690-0327
Mailing Address - Street 1:2778 TREASURE ISLAND DR E
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-1707
Mailing Address - Country:US
Mailing Address - Phone:901-690-0327
Mailing Address - Fax:
Practice Address - Street 1:2778 TREASURE ISLAND DR E
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-1707
Practice Address - Country:US
Practice Address - Phone:901-690-0327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No273Y00000XHospital UnitsRehabilitation Unit
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No333300000XSuppliersEmergency Response System Companies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No347C00000XTransportation ServicesPrivate Vehicle