Provider Demographics
NPI:1699823062
Name:TRANSITIONAL LIVING CENTER AT SANTA BARBARA
Entity Type:Organization
Organization Name:TRANSITIONAL LIVING CENTER AT SANTA BARBARA
Other - Org Name:SOLUTIONS AT SANTA BARBARA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HANNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL, CCM
Authorized Official - Phone:805-683-1995
Mailing Address - Street 1:1135 N PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1113
Mailing Address - Country:US
Mailing Address - Phone:805-683-1995
Mailing Address - Fax:805-683-4793
Practice Address - Street 1:1135 N PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1113
Practice Address - Country:US
Practice Address - Phone:805-683-1995
Practice Address - Fax:805-683-4793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA421703368261QA0600X
CA421703369320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAREH977990OtherFOR SBRHA (MEDI-CAL)
CA003875Medicaid