Provider Demographics
NPI:1295284826
Name:NUTRITION TRANSITION LLC
Entity type:Organization
Organization Name:NUTRITION TRANSITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:CAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:973-214-2588
Mailing Address - Street 1:79 BROOKSIDE TER
Mailing Address - Street 2:
Mailing Address - City:NORTH CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-4412
Mailing Address - Country:US
Mailing Address - Phone:973-214-2588
Mailing Address - Fax:
Practice Address - Street 1:333 PASSAIC AVE
Practice Address - Street 2:UNIT 3
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-2028
Practice Address - Country:US
Practice Address - Phone:862-702-8919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001683314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility