Transformation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL001241 Issued in NC

Legal business name

TRANSFORMATION

Practice address

713 5TH Ave W
Hendersonville, NC 28739-4101

Phone

(828) 559-3012

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Signal White

Title

Director

Phone

(336) 417-1252

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1629459508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 5TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 5TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394101",
            "telephone_number": "828-559-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SIGNAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-417-1252"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL001241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MHL045118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care of North Carolina LLC
• Kerin Totherow, MCD, CCC-SLP
• Justin A Towle, M.D.
• Trailblaze Psychological Services
• Paul E Trani, MD
• Kala Brianna Trantham, OTR/L
• Stacey Leigh Trantham, M.S. CCC-SLP
• John Douglas Trask, M.D.
• Danielle Dawn Travis, PTA
• Megan Nicole Trawick

• Community/Behavioral Health Agency in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.