Transformative Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TRANSFORMATIVE HOME CARE, LLC

Practice address

115 E Main St
Williamston, NC 27892-2492

Phone

(252) 493-1860

NPI assigned

Oct 17, 2022

Last updated

Oct 17, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latrish GoddardNPI 1366790024

Title

Ceo

Phone

(252) 493-1860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Transformative Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Transformative Home Care, LLC

  • Community/Behavioral Health Agency
  • Williamston, NC
  • NPI 1659227551
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latrish Goddard, LCSW, LCASA

  • Clinical Social Worker
  • Williamston, NC
  • NPI 1366790024
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1295451797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 SHERWIN DOWNS DR",
            "city": "GRIMESLAND",
            "state": "NC",
            "postal_code": "278379148",
            "telephone_number": "252-493-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922492",
            "telephone_number": "252-493-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "LATRISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-493-1860"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Touching Hearts Home Health Care Inc
• Touching Lives, Inc (virginia's place)
• Town of Williamston (Williamston Rescue)
• Trading Places Enrichment Center
• Trading Places, Inc.
• Transformative Home Care, LLC
• Transformative Transit Services, LLC (Transformative Home Care LLC)
• U-Turn Human Services Inc
• U-Turn Human Services, Inc.
• U-Turn Human Services, Inc.

• In Home Supportive Care Agency in Williamston, NC
• Providers in Williamston, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.