Tendercare Michigan Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

394160 Issued in MI

Legal business name

TENDERCARE MICHIGAN INC.

Practice address

2575 N Drake Rd
Kalamazoo, MI 49006-1358

Phone

(269) 342-0206

Fax

(269) 342-6103

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 Thiel

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tendercare of Westwood 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": "1398816000000",
    "number": "1376590851",
    "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": "2575 N DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490061358",
            "telephone_number": "269-342-0206",
            "fax_number": "269-342-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE MICHIGAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "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": "394160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603014000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare of Westwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ty Taylor
• Sierra Morgan Teadt, LLMSW, MPH
• Telefocus Physical Therapy, LLC
• Selena Tellez
• Tendercare Kalamazoo Inc.
• Tristyn Ter Avest
• Mikayla Terlesky, RD
• Paula M Termuhlen, MD
• Carlee Terpstra, RN
• Marilyn Terranella, M.D.

• 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 30, 2014; 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.