# CHANCES TRANSITION HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chances Transition Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801416631
- **Authorized official:** MS. TERREVIA BUCK RN (CEO)
- **Authorized official phone:** (323) 920-4856

## Contact information

- **Practice address:** 1423 W 66TH ST, LOS ANGELES, CA 90047-2011
- **Practice address phone:** (323) 920-4856
- **Practice address fax:** (323) 451-8098
- **Mailing address:** 1423 W 66TH ST, LOS ANGELES, CA 90047-2011
- **Mailing address phone:** (323) 920-4856
- **Mailing address fax:** (323) 451-8098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | — | NULL | — |
| 163WA2000X | Administrator Registered Nurse | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 04/22/2020