Tcu at Hubbard LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OQ5A Issued in MA

Legal business name

TCU AT HUBBARD LLC

Practice address

340 Thompson Rd
Webster, MA 01570-1509

Phone

(508) 949-8424

Fax

(508) 949-8423

NPI assigned

May 14, 2014

Organization subpart

Yes

Parent organization

ATHENA HEALTH CARE ASSOCIATES INCAs reported in NPPES

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

Authorized official

Name

Michael E. Mosier

Title

Cfo

Phone

(860) 751-3900

Specialties & licenses 1

Addresses

Other names 1

• TCU at Hubbard Doing business as

Part of

Athena Health Care Associates Inc

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1487065264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 THOMPSON RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701509",
            "telephone_number": "508-949-8424",
            "fax_number": "508-949-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 THOMPSON RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701509",
            "telephone_number": "508-949-8424",
            "fax_number": "508-949-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCU AT HUBBARD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES INC",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "OQ5A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCU at Hubbard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Swalec
• Lisa L Taher, CNP
• Anthony P Talieri Jr., M.D.
• Mark Benitez Tarantan, MD
• Patricia Angele Tchoubah
• Ronald F Tebo, D.C.
• Sarah R Thackeray, BCBA
• The Autism Spark LLC
• Mari Jane Academia Ticzon, RPT
• Town of Webster

• Skilled Nursing Facility in Webster, MA
• Providers in Webster, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.