Provider Demographics
NPI:1922284306
Name:TRANSITIONS INDUSTRIES, LLC
Entity Type:Organization
Organization Name:TRANSITIONS INDUSTRIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BURKHOLDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-698-6200
Mailing Address - Street 1:5214 68TH ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1598
Mailing Address - Country:US
Mailing Address - Phone:806-698-6200
Mailing Address - Fax:806-796-2387
Practice Address - Street 1:5214 68TH ST
Practice Address - Street 2:SUITE 306
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1598
Practice Address - Country:US
Practice Address - Phone:806-698-6200
Practice Address - Fax:806-796-2387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6404370001Medicare NSC