Tendercare Michigan Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

374020 Issued in MI

Legal business name

TENDERCARE MICHIGAN INC.

Practice address

1524 Portabella TRL
Mt Pleasant, MI 48858-4006

Phone

(989) 772-2967

Fax

(989) 772-9454

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Donna Jo Thiel

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tendercare Mt. Pleasant Doing business as

Tax ID family

Medilodge of Mt Pleasant2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mt. Pleasant Opco, LLC

  • Skilled Nursing Facility
  • Mt Pleasant, MI
  • NPI 1780081844
  NPD tax ID

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1023065513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MICHIGAN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032903",
            "telephone_number": "414-908-8119",
            "fax_number": "414-908-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 PORTABELLA TRL",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488584006",
            "telephone_number": "989-772-2967",
            "fax_number": "989-772-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE MICHIGAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "414-908-8119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "374020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2623894",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare Mt. Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renny Hemsley Tatchell, PHD, CCC-SLP
• Jessica Marie Taylor, OTD, OTRL
• Kristen Marie Telfor, NP-C
• Mickki Renae Templeman, CFNP
• Ten Sixteen Recovery Network
• Terry Ball DO PLLC
• Teter Orthotics & Prosthetics Inc
• Nirav Yogeshbhai Thaker, RPT
• Kirsten Louise Thayer, LMSW
• The Heart of Michigan Health Care

• Skilled Nursing Facility in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.