Provider Demographics
NPI:1013155696
Name:TRANSITIONS
Entity Type:Organization
Organization Name:TRANSITIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERRILEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCCUE
Authorized Official - Suffix:
Authorized Official - Credentials:DURABLE MEDICAL EQUI
Authorized Official - Phone:815-625-5905
Mailing Address - Street 1:1701 LINDY AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK FALLS
Mailing Address - State:IL
Mailing Address - Zip Code:61071-3525
Mailing Address - Country:US
Mailing Address - Phone:815-625-5905
Mailing Address - Fax:
Practice Address - Street 1:1701 LINDY AVE
Practice Address - Street 2:
Practice Address - City:ROCK FALLS
Practice Address - State:IL
Practice Address - Zip Code:61071-3525
Practice Address - Country:US
Practice Address - Phone:815-625-5905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3316-2824332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4569260001Medicare NSC