Provider Demographics
NPI:1699024141
Name:TRANSITIONAL HOPE UNLIMITED
Entity Type:Organization
Organization Name:TRANSITIONAL HOPE UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HEARST
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:770-262-3935
Mailing Address - Street 1:1709 DEAN AVE SE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-7105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4 HARVEY ST NE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-5122
Practice Address - Country:US
Practice Address - Phone:770-262-3935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARTMedicaid
GAA7Medicaid
GAAJMedicaid
GASMHMedicaid
GA54Medicaid
GAAIMedicaid