Tcby,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

257126 Issued in WI

Legal business name

TCBY,LLC

Practice address

528 Violet Ave
Hartford, WI 53027-1087

Phone

(414) 349-7564

Fax

(262) 673-0229

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Dyana Helt, OTNPI 1164904215

Title

President

Phone

(414) 349-7564

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dyana Helt

  • Occupational Therapist
  • Hartford, WI
  • NPI 1164904215
  NPD (past) Authorized official

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1679920649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 VIOLET AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271087",
            "telephone_number": "414-349-7564",
            "fax_number": "262-673-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 VIOLET AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271087",
            "telephone_number": "414-349-7564",
            "fax_number": "262-673-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCBY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "HELT",
        "authorized_official_first_name": "DYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-349-7564",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "257126",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "WI",
            "license": "257126",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134338882",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Aleen Sterman
• Peggy A Stickney, M.D.
• Monica A Stout, M.D.
• Laura Sullivan, PT
• Chunchieh Bruce Sun, LAC, LMT
• Nathan Tebo, MD
• Janet L Temmer, PT
• The Hartford Dental Group, SC
• The Matthew Project, Inc.
• Holly Elyse Thode

• Assisted Living Facility in Hartford, WI
• Providers in Hartford, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.