Fartima Tucker
LBN: Tuckerville Transitions
Fartima Tucker is an health care organization with primary practice located at 4952 Dewitt Rd , Canton MI 48188-2434. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Tuckerville Transitions can be contacted via phone (313) 312-5706, or through Tucker, Fartima via phone (313) 303-7423.
Contact Information
Primary practice address
4952 Dewitt Rd
Canton MI 48188-2434
Phone: (313) 312-5706
Fax: (734) 345-4104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1710505953 |
|---|---|
| LBN Legal business name | Tuckerville Transitions |
| DBA Doing business as | Fartima Tucker |
| Authorized official | Tucker, Fartima LMSW, CCTP, EAS-C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 13th, 2020 |
| Last updated | Aug 15th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710505953 | NPPES |
| Michigan | MEDICAID | 8025368 |
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