Tlec Corp

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TLEC CORP

Practice address

40200 Grand River Ave Ste 300
Novi, MI 48375-2163

Phone

(248) 553-3333

Fax

(248) 553-3377

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Charles Aro

Title

Administrator

Phone

(248) 553-3333

Specialties & licenses 1

Addresses

Other names 2

• Interim Hospice of Oakland County Doing business as
• Interim of Oakland Country Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Hospice certification: CCN 231680

Legal name

TLEC CORP

Doing business as

INTERIM HOSPICE OF OAKLAND COUNTY

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 13, 2020

Last certification

Apr 13, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 29, 2018 in MI

Enrollment address

41700 Gardenbrook Road
Office B Suite 130
Novi, MI 48375-1325

Listed as

Interim Hospice of Oakland CountyCCN 231680

Ownership

For-Profit

Certified

Apr 13, 2020

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Bassam Jabrail Thwainey, M.D.

  • Family Medicine Physician
  • Oak Park, MI
  • NPI 1871821389

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bassam Jabrail Thwainey, M.D.

  • Family Medicine Physician
  • Oak Park, MI
  • NPI 1871821389
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Bassam Jabrail Thwainey, M.D.

  • Family Medicine Physician
  • Oak Park, MI
  • NPI 1871821389

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1306307194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40200 GRAND RIVER AVE STE 300",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752163",
            "telephone_number": "248-553-3333",
            "fax_number": "248-553-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40200 GRAND RIVER AVE STE 300",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752163",
            "telephone_number": "248-553-3333",
            "fax_number": "248-553-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLEC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "ARO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-553-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Hospice of Oakland County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim of Oakland Country",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim of Oakland Country",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Wilson Tindal, MD MPH
• Connie Tindall, MT
• Aaron Tisack
• Ryan Tisdall, DPT
• Shannon Titus
• Juan Tobar
• Christina Todd
• Jenna Todd
• Nina Tokpawhiea
• Ashley Toledo

• Community Based Hospice Care Agency in Novi, MI
• Providers in Novi, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.