TDC Convalescent Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TDC CONVALESCENT INC.

Doing business as

Horizon Health and Subacute Center

Practice address

3034 E Herndon Ave
Fresno, CA 93720-0300

Phone

(559) 321-0883

Fax

(559) 321-7783

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Clark

Title

President

Phone

(916) 652-4712

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Horizon Health and Subacute Center Doing business as

Locations

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073507562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200300",
            "telephone_number": "559-321-0883",
            "fax_number": "559-321-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200300",
            "telephone_number": "559-321-0883",
            "fax_number": "559-321-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC CONVALESCENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-652-4712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05199K",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70096F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Health and Subacute Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara Taylor
• Teresa M Taylor, O.D.
• Tianna Jacquelyn Taylor
• Veronica Taylor
• Pooled Carolina Tchang
• Savong Tea
• Laura A Teasley, MD
• Irma Cuahtenango Tecomulapa, BT
• Randi Tedford, MA, RD
• Tilksew A Tedla

• Skilled Nursing Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Skilled Nursing Facility in California

• 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.