Tendercare Kalamazoo Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

394130 Issued in MI

Legal business name

TENDERCARE KALAMAZOO INC.

Doing business as

Tendercare Kalamazoo

Practice address

1701 S Eleventh St
Kalamazoo, MI 49009-1775

Phone

(269) 375-2020

Fax

(269) 375-7990

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 Maassen

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other names 1

• Tendercare Kalamazoo Doing business as

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1306893805",
    "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": "1701 S ELEVENTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091775",
            "telephone_number": "269-375-2020",
            "fax_number": "269-375-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE KALAMAZOO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "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": "394130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare Kalamazoo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mikayla Terlesky, RD
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• Carlee Terpstra, RN

• Skilled Nursing Facility in Kalamazoo, MI
• Providers in Kalamazoo, 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 10, 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.