Providers

TRANSITIONAL CARE LLC

NPI 1891218194, organization, Mobile, AL, Nurse Practitioner

5
Evidence tier
informational
score 28 of 100, rank 11980, $892 at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
oig admin
enforcement record (civil settlement): transitional care agreed to pay $10,000 for allegedly violating the civil monetary penalties law by submitting claims for services with false dates and locations
No NPI on the list; matched by name at high confidenceOct 11, 2024still open1Nov 2024Nov 2024$892$41K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameTRANSITIONAL CARE LLC
TypeOrganization
StatusActive
NPI issuedJuly 19, 2017, last updated July 24, 2026
Practice location1725 SPRINGHILL AVENUE, Mobile, AL 36604, 251-435-1366
Mailing address1725 SPRING HILL AVE, Mobile, AL 36604-1402
Authorized officialPHILLIP COWART (VP Finance)
Specialties
Nurse Practitioner (363L00000X, primary)

In this area

6 providers in Mobile County, AL carry an indicator in the public record, with $2.9M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by part of a provider network on 2.

tierproviderat stakewhy
3ASERACARE HOSPICE - MONROEVILLE, LLC
Mobile, AL, ranked 3116
$0
  • Part of provider network D1-00051, ranked 51 nationally.
3KARE-IN-HOME HOSPICE OF MOBILE, LLC
Saraland, AL, ranked 4776
$0
  • Part of provider network D1-00051, ranked 51 nationally.
4MANIMARAN RAMANI
Mobile, AL, ranked 7941
$500K
  • Hours beyond a day in 2 months, but with up to 148 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
5PRASIT NIMITYONGSKUL
Mobile, AL, ranked 10048
$1.3M
  • Medicaid dollars per patient on code 99212 ($1884 per patient-month) sit in the top 5% of every provider billing that code.
5MELODY PETTY
Mobile, AL, ranked 10215
$615K
  • Medicaid dollars per patient on code 99239 ($245 per patient-month) sit in the top 5% of every provider billing that code.
5MARIA ROCA GARCIA
Mobile, AL, ranked 10270
$481K
  • Medicaid dollars per patient on code 99223 ($300 per patient-month) sit in the top 5% of every provider billing that code.

Recent enforcement in AL

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementJun 23, 2026
Alabama Provider Pays $300,000 to Resolve False Claims as Part of 2026 National Health Care Fraud Takedown
A Phenix City-based provider billed Alabama Medicaid for Basic Living Skills services for at-risk children that were not actually rendered.
DOJSentencedApr 2, 2026
Former Medicaid Provider Sentenced to Federal Prison for Health Care Fraud and Aggravated Identity Theft
Pulliam, a child and family therapist enrolled as an Alabama Medicaid provider, submitted claims for counseling services that were never provided using beneficiaries' identifying information without consent.
DOJCivil judgmentMar 19, 2026
Mississippi Man Ordered to Pay $31 Million for Role in Healthcare Kickback Scheme
Crites and others referred patients, primarily TRICARE beneficiaries, to Cloverland Pharmacy in exchange for kickbacks paid by the pharmacy for each referral.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and thus ineligible for the Medicare hospice benefit.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad Healthcare submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and were ineligible for the Medicare hospice benefit.

Referral packet

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