Organization Active NPI

Tricounty Nurses Plus,LLC

  • Licensed Practical Nurse
  • Grosse Ile, MI
National Provider Identifier
1033217856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703076324 Issued in MI
Legal business name
TRICOUNTY NURSES PLUS,LLC
Practice address
8538 Island Blvd
Grosse Ile, MI 48138
Phone
(734) 377-7194
Fax
(734) 281-1357
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Teresa Macdonald, LPN
Title
Ceo
Phone
(734) 377-7194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703076324 MI Primary

Addresses

Primary practice location

8538 Island Blvd
Grosse Ile, MI 48138

Mailing address

410 W Jefferson Ave
Trenton, MI 48183-1217
Phone (734) 281-0695

National Provider Directory

National Provider Directory

Locations

410 W Jefferson Ave
Trenton, MI 48183

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033217856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W JEFFERSON AVE",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831217",
            "telephone_number": "734-281-0695",
            "fax_number": "734-281-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8538 ISLAND BLVD",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "48138",
            "telephone_number": "734-377-7194",
            "fax_number": "734-281-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY NURSES PLUS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-377-7194",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703076324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Ile, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.