Provider Demographics
NPI:1740596618
Name:TRANSITIONALHEALTHCARE
Entity type:Organization
Organization Name:TRANSITIONALHEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ISMAIL
Authorized Official - Middle Name:O
Authorized Official - Last Name:I-OLUSHOGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-805-6869
Mailing Address - Street 1:11115 SUPERIOR LNDG
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3492
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11115 SUPERIOR LNDG
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3492
Practice Address - Country:US
Practice Address - Phone:301-805-6869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-29
Last Update Date:2010-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health