Provider Demographics
NPI:1487935805
Name:BEBASHI TRANSITION TO HOPE
Entity type:Organization
Organization Name:BEBASHI TRANSITION TO HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LIBRO
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CIARMATORI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:215-769-3561
Mailing Address - Street 1:1235 SPRING GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-3206
Mailing Address - Country:US
Mailing Address - Phone:215-769-3561
Mailing Address - Fax:
Practice Address - Street 1:1235 SPRING GARDEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-3206
Practice Address - Country:US
Practice Address - Phone:215-769-3561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024869940002Medicaid