Organization · NPI-2

Chances Transition Home

Clinic/Center, Recovery Care · Los Angeles, CA

NPI number1801416631

StatusActive

Last updated in NPPESApr 22, 2020

Details

NPI: 1801416631
Entity type: Organization (NPI-2)
Legal business name: Chances Transition Home
Organization subpart: No
Enumeration date: Apr 22, 2020
Certification date: Apr 22, 2020
Last updated: Apr 22, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QR0800X	Clinic/Center, Recovery Care	–	–	Yes
163WA2000X	Registered Nurse, Administrator	–	–
251B00000X	Case Management	–	–
251J00000X	Nursing Care	–	–
310400000X	Assisted Living Facility	–	–
385H00000X	Respite Care	–	–

Other names

Chances Transition Home (Doing Business As)

Practice location

1423 W 66th St
Los Angeles, CA 90047-2011

Phone 323-920-4856 · Fax 323-451-8098

Mailing address

1423 W 66th St
Los Angeles, CA 90047-2011

Phone 323-920-4856 · Fax 323-451-8098

Authorized official

Terrevia Buck
Ceo
3239204856

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