Superior Transitional Care PLLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

SUPERIOR TRANSITIONAL CARE PLLC

Practice address

900 Cooper St
Jackson, MI 49202-3398

Phone

(517) 780-9500

Fax

(517) 780-9700

NPI assigned

Aug 3, 2011

Organization subpart

No

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

Authorized official

Name

Raymond F Hansen, M.D.

Title

Member

Phone

(517) 780-9500

Specialties & licenses 1

Addresses

Other names 1

• Great Lakes Caring Doing business as

Locations

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1689952962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COOPER ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023398",
            "telephone_number": "517-780-9500",
            "fax_number": "517-780-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023398",
            "telephone_number": "517-780-9500",
            "fax_number": "517-780-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR TRANSITIONAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "517-780-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Caring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hospice and Palliative Medicine (Internal Medicine) Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.