Active NPI
TC Personal Care, LLC
- Assisted Living Facility
- Traverse City, MI
National Provider Identifier
1609354539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- NONE
- Legal business name
- TC PERSONAL CARE, LLC
- Practice address
- 461 Munson Ave
Traverse City, MI 49686-3577 - Phone
- (231) 947-4626
- NPI assigned
- Aug 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Martin Eddington
- Title
- Member
- Phone
- (231) 218-2948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NONE | Primary |
Addresses
Primary practice location
461 Munson Ave
Traverse City, MI 49686-3577
Mailing address
2850 Townline Rd
Traverse City, MI 49686-4872
Phone (231) 218-2948
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533168000000",
"number": "1609354539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 TOWNLINE RD",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496864872",
"telephone_number": "231-218-2948",
"fax_number": "231-941-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 MUNSON AVE",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863577",
"telephone_number": "231-947-4626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TC PERSONAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-02",
"last_updated": "2018-08-02",
"status": "A",
"authorized_official_last_name": "EDDINGTON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "231-218-2948",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": "NONE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.