Tica's Compassionate Care, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

TICA'S COMPASSIONATE CARE, LLC

Practice address

1303 Coulson Dr
Cheboygan, MI 49721-9320

Phone

(630) 946-4095

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Ann CervantesNPI 1124307137

Title

Owner

Phone

(630) 946-4095

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Cervantes, PTA

  • Community Health Worker
  • Sycamore, IL
  • NPI 1124307137
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1003512518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 COULSON DR",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219320",
            "telephone_number": "630-946-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 COULSON DR",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219320",
            "telephone_number": "630-946-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICA'S COMPASSIONATE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-946-4095"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teter Orthotics & Prosthetics Inc
• Mark Dana Thoms, R.PH.
• Thunder Bay Community Health Service, Inc (Cheboygan Inverness Academy)
• Thunder Bay Community Health Service, Inc (Cheboygan Intermediate School)
• Thunder Bay Community Health Service, Inc (Cheboygan Area Schools - East Elementary)
• Deborah Marie Tierney, DNP, CPNP
• Rechab Towne
• Tammie Travis
• Lisa Marie Tucker-Migda, FNP-C
• David Van Alstine

• Respite Care in Cheboygan, MI
• Providers in Cheboygan, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.