Tendercare Select Properties Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

694020 Issued in MI

Legal business name

TENDERCARE SELECT PROPERTIES INC.

Doing business as

Tendercare Gaylord

Practice address

508 Random LN
Rte. 4
Gaylord, MI 49735-9304

Phone

(989) 732-3508

Fax

(989) 731-5260

NPI assigned

Jun 17, 2006

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Donna J Maassen

Title

Privacy Officer

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tendercare Gaylord Doing business as

Tax ID family

FMG Random Lane Michigan LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• FMG Random Lane Michigan LLC

  • Skilled Nursing Facility
  • Gaylord, MI
  • NPI 1629452214
  NPD tax ID

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1598700403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E PORTAGE AVE",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497834200",
            "telephone_number": "906-635-0020",
            "fax_number": "906-635-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 RANDOM LN",
            "address_2": "RTE. 4",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359304",
            "telephone_number": "989-732-3508",
            "fax_number": "989-731-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE SELECT PROPERTIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRIVACY OFFICER",
        "authorized_official_telephone_number": "414-908-8119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "694020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2617180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare Gaylord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra M Tarbutton, RN
• Theresa Rose Taskey
• Helena Marie Taylor, BCBA
• Ellen Templeton
• Tendercare Select Properties Inc. (Tendercare Gaylord)
• Teter Orthotics & Prosthetics Inc (Hanger Clinic)
• Nicole Lynne Thayer, DMD
• Julie Theriault Timperley, OD
• Brittany Thomas
• Tyler Ann Thomas

• Skilled Nursing Facility in Gaylord, MI
• Providers in Gaylord, 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 Mar 5, 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.