Provider Demographics
NPI:1912538265
Name:TRANSITIONING HOME INC
Entity Type:Organization
Organization Name:TRANSITIONING HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-412-4646
Mailing Address - Street 1:2345 S FEDERAL BLVD STE 175
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-5435
Mailing Address - Country:US
Mailing Address - Phone:720-412-4646
Mailing Address - Fax:303-265-9536
Practice Address - Street 1:2345 S FEDERAL BLVD STE 175
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-5435
Practice Address - Country:US
Practice Address - Phone:720-412-4646
Practice Address - Fax:303-265-9536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management