OrganizationActive
Transitional Services Sub, LLC
NPI 1376702225 · Intellectual Disabilities Intermediate Care Facility · Mitchell, IN
Provider details
- NPI number
- 1376702225
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brett Cohen, Coo(800) 388-5150
- License
- 2539T0011JN08 (IN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
103 E Hancock Ave
Mitchell, IN 47446-1126
Phone: (812) 849-6743
Fax: (317) 581-2378
Approximate (ZIP-level) locationGet directions
Mailing address
9000 Keystone Xing Ste 200
Indianapolis, IN 46240-2148
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2023-04-18
- Certified
- 2023-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.