Tuckerman Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TUCKERMAN ASSISTED LIVING LLC

Doing business as

The Terraces at Tuckerman Lane

Practice address

5550 Tuckerman LN
Rockville, MD 20852-4683

Phone

(732) 903-1985

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Mindee Posen

Title

Cfo

Phone

(845) 825-2217

Specialties & licenses 1

Addresses

Other names 1

• The Terraces at Tuckerman Lane Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1659022796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 STE 301",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-903-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 TUCKERMAN LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524683",
            "telephone_number": "732-903-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKERMAN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "POSEN",
        "authorized_official_first_name": "MINDEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-825-2217"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Terraces at Tuckerman Lane",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Terraces at Tuckerman Lane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Tucker
• Justin Tucker
• Kalkidan Tucker
• Robert E Tucker IV
• Shanae Precious Tucker
• Tuckerman Operator LLC
• Tuckerman Operator LLC
• Jeffrey Tuckson Jr.
• Teresa Elisa Tudder, MA, LCPC
• Marina Tudor-Kaough

• Assisted Living Facility in Rockville, MD
• Providers in Rockville, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.