NPIMap

Organization Active NPI

Transitional Living Corporation

  • Substance Abuse Rehabilitation Facility
  • Prescott, AZ
National Provider Identifier
1821383811
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH2644 Issued in AZ
Legal business name
TRANSITIONAL LIVING CORPORATION
Practice address
431 S. Alarcon
Prescott, AZ 86303-4394
Phone
(928) 671-0475
NPI assigned
Jun 17, 2011
Last updated
Jun 17, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
TRANSITIONAL LIVING CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH2644 AZ Primary

Addresses

Primary practice location

431 S. Alarcon
Prescott, AZ 86303-4394

Mailing address

466 W. Wickenburg Way
Wickenburg, AZ 85390-2226
Phone (928) 668-1474

Other names 1

  • GCC Other name

National Provider Directory

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

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1821383811",
    "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": "928-668-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S. ALARCON",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034394",
            "telephone_number": "928-671-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL LIVING CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSITIONAL LIVING CORPORATION",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "BRIICK",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "MARIE",
        "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": "BH2644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.