WTC Sub LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WTC SUB LLC

Doing business as

The Whitcomb

Practice address

509 Ship St
Saint Joseph, MI 49085-1118

Phone

(269) 983-2513

NPI assigned

Sep 2, 2020

Last updated

Sep 2, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

WHITCOMB HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Michael A Beckett

Title

Managing Member

Phone

(630) 364-0208

Specialties & licenses 1

Addresses

Other names 1

• THE WHITCOMB Doing business as

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1578177994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SHIP ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851118",
            "telephone_number": "269-983-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SHIP ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851118",
            "telephone_number": "269-983-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WTC SUB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITCOMB HOLDINGS LLC",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "BECKETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "630-364-0208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE WHITCOMB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.