Healthy Transitions, Llc in Montclair - Health Service
Healthy Transitions, Llc - NPI 1114116472
Healthy Transitions, Llc is a Health Service in Montclair, New Jersey. Healthy Transitions, Llc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Healthy Transitions, Llc is 1114116472. The last update date is 2019-07-12.
Healthy Transitions, Llc's current location address is 50 Church St. Suite L4, Montclair, New Jersey. You can contact this provider via phone number 9086471688 and fax number 9086471688. The mailing address for Healthy Transitions, Llc is 50 Church St. Suite L4, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Healthy Transitions, Llc |
|---|---|
| Address | 50 Church St. Suite L4, Montclair, New Jersey |
| Phone Number | 9086471688 |
| Fax Number | 9086471688 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Bruessow Diane |
| Credentials | PA |
| Telephone Number | 9086471688 |
NPI Number Detail
| NPI Number | 1114116472 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2019-07-12 |
Provider Mailing Address Detail
| Address | 50 Church St. Suite L4 |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 7042 |
| Phone Number | 9086471688 |
| Fax Number | 9086471688 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 25MA05818600 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25MA05818600 | NJ | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Healthy Transitions, Llc by the Centers for Medicare & Medicaid Services?
The Healthy Transitions, Llc has been issued the NPI (National Provider Identifier) 1114116472, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Healthy Transitions, Llc's physical address?
The Healthy Transitions, Llc is physically located at 50 Church St. Suite L4, in the city of Montclair, NJ, with the postal code 7042.
What is Healthy Transitions, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Healthy Transitions, Llc's specialized field of practice is Health Service, and the corresponding taxonomy code that categorizes this area of specialization is 261Qh0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114116472 to Healthy Transitions, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1114116472 to Healthy Transitions, Llc on 2007-10-23.
As of what date was the information pertaining to Healthy Transitions, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Healthy Transitions, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-07-12.