Provider Demographics
NPI:1851369250
Name:TRANSITION HEALTHCARE ASSOCIATES INC
Entity Type:Organization
Organization Name:TRANSITION HEALTHCARE ASSOCIATES INC
Other - Org Name:TRANSITION HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:440-967-2508
Mailing Address - Street 1:1605 ST RT 60
Mailing Address - Street 2:SUITE 3
Mailing Address - City:VERMILLION
Mailing Address - State:OH
Mailing Address - Zip Code:44089
Mailing Address - Country:US
Mailing Address - Phone:440-967-2508
Mailing Address - Fax:440-967-4023
Practice Address - Street 1:1605 ST RT 60
Practice Address - Street 2:SUITE 3
Practice Address - City:VERMILLION
Practice Address - State:OH
Practice Address - Zip Code:44089
Practice Address - Country:US
Practice Address - Phone:440-967-2508
Practice Address - Fax:440-967-4023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000157528OtherANTHEM BLUE CROSS
OH000000218161OtherANTHEM BLUE CROSS
OH000000218162OtherANTHEM BLUE CROSS
1843898OtherUNITED HEALTHCARE
OH000000218160OtherANTHEM BLUE CROSS
OH2070379Medicaid
366677Medicare ID - Type Unspecified