TC Healthcare I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TC HEALTHCARE I, LLC

Doing business as

Pawtucket Health Care Facility

Practice address

70 Gill Ave
Pawtucket, RI 02861-4315

Phone

(401) 722-7900

Fax

(401) 723-9670

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Coburn

Title

Officer

Phone

(860) 930-0091

Specialties & licenses 1

Addresses

Other names 1

• Pawtucket Health Care Facility Doing business as

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1700048063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 JUNIPER LN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332515",
            "telephone_number": "860-930-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GILL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614315",
            "telephone_number": "401-722-7900",
            "fax_number": "401-723-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC HEALTHCARE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "860-930-0091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pawtucket Health Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zoraida Altagracia Tavarez Pena, MS
• Julio Eduardo Tavarez, M.S.
• Taylor Health Enterprises, LLC (Lotus Noire Health)
• Margaret Taylor, DPT
• Temperance Taylor, APRN
• Teallia LLC
• Julia Teck, MD
• Brittany Teixeira, LCDP
• Loni Teixeira
• Luz Teixeira, PH.D

• Skilled Nursing Facility in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.