- Enrollment id
- O20140716000851
- Enrollment state
- OK
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1710228663
- Multiple npi flag
- N
- Ccn
- 371676
- Associate id
- 9133369820
- Organization name
- TRANSITIONS LIFECARE LLC
- Doing business as name
- TRANSITIONS LIFECARE HOSPICE
- Incorporation date
- 2013-03-01
- Incorporation state
- OK
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6310 E 102ND ST
- City
- TULSA
- State
- OK
- Zip code
- 741377061