Provider Demographics
NPI:1376998781
Name:TRANSITIONS INDIANA, LLC
Entity type:Organization
Organization Name:TRANSITIONS INDIANA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAMIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-515-1505
Mailing Address - Street 1:8913 N PRAIRIE POINTE RD
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-1577
Mailing Address - Country:US
Mailing Address - Phone:847-515-1505
Mailing Address - Fax:
Practice Address - Street 1:8435 KEYSTONE CROSSING
Practice Address - Street 2:SUITE 108
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-4373
Practice Address - Country:US
Practice Address - Phone:317-519-6145
Practice Address - Fax:317-218-3504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based