Provider Demographics
NPI:1669863841
Name:TRANSITIONAL HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:TRANSITIONAL HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHULO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-415-3658
Mailing Address - Street 1:26239 DUNNING ST
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-2414
Mailing Address - Country:US
Mailing Address - Phone:313-438-6219
Mailing Address - Fax:
Practice Address - Street 1:27426 FAIRFAX ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-5133
Practice Address - Country:US
Practice Address - Phone:313-438-6219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS820306356311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home