# TRANSITIONS LIFECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRANSITIONS LIFECARE LLC
- **Other names:** Transitions LifeCare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588052476
- **Legal business name:** TRANSITIONS LIFECARE LLC
- **Authorized official:** MR. JOSHUA HAVEN BRAZEAL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (405) 206-4680

## Contact information

- **Practice address:** 1515 E 71ST ST, SUITE 100, TULSA, OK 74136-5046
- **Practice address phone:** (405) 206-4680
- **Practice address fax:** (918) 551-6890
- **Mailing address:** 1515 E 71ST ST, SUITE 100, TULSA, OK 74136-5046
- **Mailing address phone:** (405) 206-4680
- **Mailing address fax:** (918) 551-6890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 364S00000X | Clinical Nurse Specialist | — | NULL | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 12/31/2014
- **Last updated:** 12/31/2014