Provider Demographics
NPI:1801845847
Name:TRANSITIONAL SERVICES, INC
Entity Type:Organization
Organization Name:TRANSITIONAL SERVICES, INC
Other - Org Name:TSI
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:812-433-3333
Mailing Address - Street 1:2009 MAXWELL AVE
Mailing Address - Street 2:P.O. BOX 4795
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-4359
Mailing Address - Country:US
Mailing Address - Phone:812-433-3333
Mailing Address - Fax:812-433-3322
Practice Address - Street 1:144 MAPLE ST
Practice Address - Street 2:
Practice Address - City:LYNNVILLE
Practice Address - State:IN
Practice Address - Zip Code:47619-2024
Practice Address - Country:US
Practice Address - Phone:812-922-5690
Practice Address - Fax:812-922-5690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2539B0014JN08315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities