Provider Demographics
NPI:1710228663
Name:TRANSITIONS LIFECARE LLC
Entity type:Organization
Organization Name:TRANSITIONS LIFECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:HAVEN
Authorized Official - Last Name:BRAZEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-551-6879
Mailing Address - Street 1:1515 E 71ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-5046
Mailing Address - Country:US
Mailing Address - Phone:918-551-6879
Mailing Address - Fax:918-551-6890
Practice Address - Street 1:1515 E 71ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-5046
Practice Address - Country:US
Practice Address - Phone:918-551-6879
Practice Address - Fax:918-551-6890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based