TC Healthcare I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TC HEALTHCARE I, LLC

Practice address

290 Hanover St
Claremont, NH 03743-5034

Phone

(603) 542-2606

Fax

(603) 543-0479

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

• Haven Nursing and Rehabilitation Center 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": "1220486400000",
    "number": "1336301688",
    "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": "290 HANOVER ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435034",
            "telephone_number": "603-542-2606",
            "fax_number": "603-543-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC HEALTHCARE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-09-04",
        "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": "Haven Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew R Sullivan, M.D.
• Malcolm Sutton
• Kylee Taft-Brown
• Shirley Tan, M.D.
• Robert L. Tatro Jr., D.M.D.
• Tenney Health Associates PLLC
• Danielle Tenney, LICSW
• Diane M Tensen, PT
• Carl E Tetirick, MD
• Brandon Tetreault-Cohen, BSW

• Skilled Nursing Facility in Claremont, NH
• Providers in Claremont, NH by specialty
• Skilled Nursing Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.