- Enrollment id
- O20200820000652
- Enrollment state
- WI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1003450008
- Multiple npi flag
- N
- Ccn
- 527341
- Associate id
- 1951403260
- Organization name
- TRANSITIONS AT HOME, INC.
- Doing business as name
- TRANSITIONS AT HOME OF WESTERN WI
- Incorporation date
- 2020-06-04
- Incorporation state
- WI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 100 S 1ST ST
- City
- MOUNT HOREB
- State
- WI
- Zip code
- 535721906
- Practice location type
- HHA BRANCH