Provider Demographics
NPI:1750493862
Name:TRANSITIONAL CARE COMMUNITY, LLC
Entity Type:Organization
Organization Name:TRANSITIONAL CARE COMMUNITY, LLC
Other - Org Name:TRANSITIONAL CARE COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:KALBFLEISCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-635-3316
Mailing Address - Street 1:2825 WIENEKE RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2600
Mailing Address - Country:US
Mailing Address - Phone:989-262-7385
Mailing Address - Fax:
Practice Address - Street 1:5939 SHATTUCK RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2634
Practice Address - Country:US
Practice Address - Phone:989-899-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI733512314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-5585Medicare Oscar/Certification