TRANSITIONAL LIVING SERVICES, INC (NPI# 1831381839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831381839 |
| Entity Type | Organization |
| Organization Name | TRANSITIONAL LIVING SERVICES, INC |
| Practice Address |
3710 Douglas Ave Racine WI 53402-3227 |
| Mailing Address |
1040 S 70th St Milwaukee WI 53214-3174 |
| Practice Telephone | 2626398084 |
| Practice Fax Number | 2626398086 |
| Mailing Telephone | 4144769675 |
| Mailing Fax Number | 4146150627 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-16 |
| Authorized Official Name | MR. ROBERT WRENN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4144769615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2112 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43429700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457395212 | Transitional Living Services, Inc | Counselor | 3710 Douglas Ave, Racine, WI 53402-3227 | 2006-06-15 |
| 1184923203 | Transitional Living Services, Inc | Community/Behavioral Health | 3710 Douglas Ave, Racine, WI 53402-3227 | 2011-03-16 |
| 1356570501 | Transitional Living Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2009-07-09 |
| 1851573836 | Transitional Living Services, Inc | Case Management | 1040 S 70th St, Milwaukee, WI 53214-3174 | 2007-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | TRANSITIONAL LIVING SERVICES, INC. | 50629 Tumbleweed Tr., Granger, IN 46530 |
| Street Address |
3710 DOUGLAS AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53402-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457395212 | Transitional Living Services, Inc | Counselor | 3710 Douglas Ave, Racine, WI 53402-3227 | 2006-06-15 |
| 1184923203 | Transitional Living Services, Inc | Community/Behavioral Health | 3710 Douglas Ave, Racine, WI 53402-3227 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169522 | Hopes Center | Community/Behavioral Health | 521 6th St, Racine, WI 53403-1117 | 2015-07-10 |
| 1366858292 | Asd Impact Inc | Community/Behavioral Health | 6601 Washington Ave, Racine, WI 53406-3923 | 2014-07-11 |
| 1477894244 | Entrusted Counseling Services, LLC | Community/Behavioral Health | 2317 Webster St, Racine, WI 53403-3056 | 2013-03-04 |
| 1891030748 | Hopes Center of Racine, Inc. | Community/Behavioral Health | 506 7th St, Racine, WI 53403-1128 | 2012-12-04 |
| 1467627992 | Genesis Behavioral Services, Inc | Community/Behavioral Health | 1654 Washington Ave, Racine, WI 53403-2047 | 2008-04-25 |
| 1285039578 | Racine County Ccs | Community/Behavioral Health | 1717 Taylor Ave, Racine, WI 53403-2405 | 2014-10-29 |
| 1164834453 | Edward Mitchell | Community/Behavioral Health | 2405 Northwestern Ave # Ll15, Racine, WI 53404-2534 | 2014-05-21 |
| 1982951679 | Harvest Consulting Company, LLC | Community/Behavioral Health | 2405 Northwestern Ave, Lower Level Suite 5, Racine, WI 53404-2534 | 2012-08-13 |
| 1437423563 | Derose Family Counseling, LLC. | Community/Behavioral Health | 316 5th St, Suite 1, Racine, WI 53403-4606 | 2012-03-07 |
| 1184923203 | Transitional Living Services, Inc | Community/Behavioral Health | 3710 Douglas Ave, Racine, WI 53402-3227 | 2011-03-16 |
| Find all providers in RACINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.