Organization Active NPI

TC Personal Care, LLC

  • Assisted Living Facility
  • Traverse City, MI
National Provider Identifier
1609354539
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 2, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.