TRANSITIONAL SERVICES SUB, LLC (NPI# 1194984047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194984047 |
| Entity Type | Organization |
| Organization Name | TRANSITIONAL SERVICES SUB, LLC |
| Practice Address |
4812 W State Road 45 Bloomington IN 47403-9341 |
| Mailing Address |
8925 N Meridian St Suite 200 Indianapolis IN 46260-2386 |
| Practice Telephone | 8128255038 |
| Practice Fax Number | 3175812378 |
| Mailing Telephone | 3175812380 |
| Mailing Fax Number | 3175812378 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | DANIEL MOHNKE (STATE DIRECTOR) |
| Authorized Official Telephone | 3175812380 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 2539B0009JN08 | IN | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811156771 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 4155 W Ray St, Indianapolis, IN 46241-2500 | 2008-06-05 |
| 1720247687 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 359 W 47th St, Indianapolis, IN 46208-3408 | 2008-06-05 |
| 1467611319 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 205 N Main St, Spencer, IN 47460-1303 | 2008-06-05 |
| 1376702225 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 103 E Hancock Ave, Mitchell, IN 47446-1126 | 2008-06-05 |
| 1649439597 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 701 Riley Blvd, Bedford, IN 47421-9228 | 2008-06-05 |
| 1558520403 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 144 Maple St, Lynnville, IN 47619 | 2008-06-05 |
| 1649439506 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 317 N Main St, Haubstadt, IN 47639-8140 | 2008-06-05 |
| 1184883043 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 84 Walnut St, Danville, IN 46122-1636 | 2008-06-05 |
| 1821257775 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 114 S Chestnut St, Huntingburg, IN 47542-1226 | 2008-06-05 |
| 1093974958 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 11 Washington St, Brownsburg, IN 46112-1344 | 2008-06-05 |
| Street Address |
4812 W STATE ROAD 45 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-9341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083663900 | Transitional Services, Inc | Intermediate Care Facility, Mentally Retarded | 4812 W State Road 45, Bloomington, IN 47403-9341 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326194747 | Options for Better Living, Inc | Intermediate Care Facility, Mentally Retarded | 2709 W Ida Ln, Bloomington, IN 47403-9784 | 2007-01-26 |
| 1639231897 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 4417 E Blackstone Ct, Bloomington, IN 47408-3181 | 2006-12-14 |
| 1205997350 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 214 E Southern Dr, Bloomington, IN 47401-6508 | 2006-12-13 |
| 1093876195 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 4700 N Hite Dr, Bloomington, IN 47408-9526 | 2006-12-12 |
| 1376604470 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 1835 S Maxwell St, Bloomington, IN 47401-6706 | 2006-12-12 |
| 1427118843 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 713 E Miller Dr, Bloomington, IN 47401-6541 | 2006-12-08 |
| 1770642233 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 3502 W Festive Dr, Bloomington, IN 47403-3904 | 2006-12-08 |
| 1134297591 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 1006 W 11th St, Bloomington, IN 47404-3237 | 2006-12-01 |
| 1447328810 | Stone Belt Arc, Inc | Intermediate Care Facility, Mentally Retarded | 4100 E Deckard Dr, Bloomington, IN 47408-2806 | 2006-12-01 |
| 1992878714 | Msocs-bloomington | Intermediate Care Facility, Mentally Retarded | 8634 Oakland Ave S, Bloomington, MN 55420-3030 | 2006-11-17 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.