Transitional Living Services

LBN: Transitional Living Services
Transitional Living Services is an health care organization with primary practice located at 5601 Domingo Rd Ne , Albuquerque NM 87108-1610. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Transitional Living Services can be contacted via phone (505) 268-5295, or through Jackson, Gary B via phone (505) 268-5295.

Contact Information

Primary practice address
5601 Domingo Rd Ne Albuquerque NM 87108-1610
Phone: (505) 268-5295
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Gary B
Phone: (505) 268-5295

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 105341 New Mexico

Profile Details

NPI number 1285921569
LBN Legal business name Transitional Living Services
DBA Doing business as
Authorized official Jackson, Gary B
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2011
Last updated Jul 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285921569 NPPES
New Mexico MEDICAID B9311

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