Provider Demographics
NPI:1861752958
Name:TRANS AID LLC
Entity type:Organization
Organization Name:TRANS AID LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANETCHDJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-793-9694
Mailing Address - Street 1:4617 W VENTURE CT
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-1421
Mailing Address - Country:US
Mailing Address - Phone:623-215-8821
Mailing Address - Fax:
Practice Address - Street 1:4617 W VENTURE CT
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85086-1421
Practice Address - Country:US
Practice Address - Phone:623-215-8821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD00779436282N00000X, 261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No282N00000XHospitalsGeneral Acute Care Hospital