Provider Demographics
NPI:1760017586
Name:TRANSFORMATION HOME CARE
Entity Type:Organization
Organization Name:TRANSFORMATION HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OCANSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-318-8533
Mailing Address - Street 1:168 ALCORNE ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:862-220-5955
Mailing Address - Fax:866-233-4562
Practice Address - Street 1:84 SANFORD ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1927
Practice Address - Country:US
Practice Address - Phone:862-220-5955
Practice Address - Fax:866-233-4562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health