Provider Demographics
NPI:1801242839
Name:TRANSITIONAL LEARNING CENTER
Entity type:Organization
Organization Name:TRANSITIONAL LEARNING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:EPPINETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, FHFMA
Authorized Official - Phone:409-762-6661
Mailing Address - Street 1:1528 POST OFFICE STREET
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-4833
Mailing Address - Country:US
Mailing Address - Phone:409-762-6661
Mailing Address - Fax:409-762-9961
Practice Address - Street 1:1808 N. QUAKER
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-2743
Practice Address - Country:US
Practice Address - Phone:806-281-5400
Practice Address - Fax:806-281-5436
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSITIONAL LEARNING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-09
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149996OtherTEXAS HEALTH & HUMAN SERVICES ASSISTED LIVING FACILITY LICENSE