Provider Demographics
NPI:1669737896
Name:TRANSITION HOME LLC
Entity type:Organization
Organization Name:TRANSITION HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROGERS-GRANBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN,CFE,CCM,MBA
Authorized Official - Phone:314-653-1159
Mailing Address - Street 1:100 RUE SAINT FRANCOIS
Mailing Address - Street 2:SUITE 111
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-5134
Mailing Address - Country:US
Mailing Address - Phone:314-831-4600
Mailing Address - Fax:314-831-4601
Practice Address - Street 1:100 RUE SAINT FRANCOIS
Practice Address - Street 2:SUITE 111
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-5134
Practice Address - Country:US
Practice Address - Phone:314-831-4600
Practice Address - Fax:314-831-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care