NPIMap

Organization Active NPI

Transitional Living Services, Inc

  • Community/Behavioral Health Agency
  • Racine, WI
National Provider Identifier
1831381839
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2112 Issued in WI
Legal business name
TRANSITIONAL LIVING SERVICES, INC
Practice address
3710 Douglas Ave
Racine, WI 53402-3227
Phone
(262) 639-8084
Fax
(262) 639-8086
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Mr. Robert Wrenn
Title
President and Ceo
Phone
(414) 476-9615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2112 WI Primary

Addresses

Primary practice location

3710 Douglas Ave
Racine, WI 53402-3227

Mailing address

1040 S 70TH St
Milwaukee, WI 53214-3174
Phone (414) 476-9675

Other identifiers 1

IdentifierTypeStateIssuer
43429700MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Transitional Living Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

Subparts reporting this organization as parent 5

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1831381839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143174",
            "telephone_number": "414-476-9675",
            "fax_number": "414-615-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023227",
            "telephone_number": "262-639-8084",
            "fax_number": "262-639-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL LIVING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "WRENN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "414-476-9615",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43429700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.