Organization
TRANSNET HOME GROUP;LLC
Active
Other names
Transnet home group mlk facility
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT CURTIS THOMAS (DIRECTOR)
(336) 965-7186
Entity
Organization
Contact information
Practice address
1607 MARTIN LUTHER KING JR DR, GREENSBORO, NC 27406-2423
(336) 965-7186
(888) 821-5068
Mailing address
PO BOX 36266, GREENSBORO, NC 27416-6266
(336) 965-7186
(888) 821-5068
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
1448064
NC
174200000X
Meals Provider
0411145
NC
177F00000X
Lodging Provider
0411145
NC
251S00000X
Community/Behavioral Health Agency
0411145
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0411145
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
0411145
NC
343900000X
Non-emergency Medical Transport (VAN)
0411145
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246915141O
—
NC
01
—
MHL-041-1145
STATE ISSUED: (IF APPLICABLE) CLEAR SAVE
NC
Enumeration date
07/18/2016
Last updated
06/11/2019
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