NPIMap

Organization Active NPI

Transitional Living Corporation

  • Substance Abuse Rehabilitation Facility
  • Wickenburg, AZ
National Provider Identifier
1790078475
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH-2644 Issued in AZ
Legal business name
TRANSITIONAL LIVING CORPORATION
Practice address
466 W Wickenburg Way
Wickenburg, AZ 85390-2226
Phone
(928) 668-1470
Fax
(928) 668-1474
NPI assigned
May 27, 2011
Last updated
May 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Leah Briick
Title
Chief Operations Officer
Phone
(928) 668-0722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH-2644 AZ Primary

Addresses

Primary practice location

466 W Wickenburg Way
Wickenburg, AZ 85390-2226

Mailing address

466 W Wickenburg Way
Wickenburg, AZ 85390-2226
Phone (928) 668-1470

National Provider Directory

National Provider Directory
Tax ID family
Transitional Living Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

466 W Wickenburg Way
Wickenburg, AZ 85390
Phone (520) 684-1555

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1790078475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 W WICKENBURG WAY",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853902226",
            "telephone_number": "928-668-1470",
            "fax_number": "928-668-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 W WICKENBURG WAY",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853902226",
            "telephone_number": "928-668-1470",
            "fax_number": "928-668-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "BRIICK",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "928-668-0722"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-2644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.