Integrated Transition Care LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

INTEGRATED TRANSITION CARE LLC

Practice address

562 Sable Blvd Ste 150
Aurora, CO 80011-0809

Phone

(678) 755-5601

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mariamawit Desta

Title

Owner

Phone

(678) 755-5601

Specialties & licenses 1

Addresses

Tax ID family

Integrated Transition 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.

• Integrated Transition Care LLC

  • Case Management Agency
  • Centennial, CO
  • NPI 1659121010
  NPD tax ID

Locations

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1366263246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 SABLE BLVD STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800110809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 SABLE BLVD STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800110809",
            "telephone_number": "678-755-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED TRANSITION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "MARIAMAWIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-755-5601",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Day Training/Habilitation Specialist in Aurora, CO
• Providers in Aurora, CO by specialty
• Day Training/Habilitation Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.