TC Healthcare I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TC HEALTHCARE I, LLC

Practice address

915 Ella T Grasso Blvd
New Haven, CT 06519-5516

Phone

(203) 865-5155

Fax

(203) 865-5799

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Coburn

Title

Officer

Phone

(860) 930-0091

Specialties & licenses 1

Addresses

Other names 1

• New Haven Health Care Facility Doing business as

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1295997526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 JUNIPER LN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332515",
            "telephone_number": "860-930-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ELLA T GRASSO BLVD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065195516",
            "telephone_number": "203-865-5155",
            "fax_number": "203-865-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC HEALTHCARE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "860-930-0091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Haven Health Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Anne Taylor, MD, MPH
• Shay Taylor
• Terry Taylor, MD
• Venson Jefferson Taylor Jr., RN
• Zachary Robert Taylor, DO
• Jeremy Tchack, MD
• TDG Connecticut PLLC
• Ashley Katherine Teague, MD
• Peter J Tebben, M.D.
• Enock Bulagulwa Teefe, MD

• Skilled Nursing Facility in New Haven, CT
• Providers in New Haven, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.