TLC Group Choice

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

TLC GROUP CHOICE

Practice address

1255 Larpenteur Ave W
Saint Paul, MN 55113-6337

Phone

(651) 647-0017

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kiros Tesfaye

Title

Business Manager

Phone

(657) 647-0017

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710010202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 LARPENTEUR AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551136337",
            "telephone_number": "651-647-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 LARPENTEUR AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551136337",
            "telephone_number": "651-647-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC GROUP CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TESFAYE",
        "authorized_official_first_name": "KIROS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "657-647-0017"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN STATE ID NUMBER",
            "identifier": "7009329",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lee Titze
• Heidi Titze
• Gerald Tix
• Jacob Ross Tjernlund, LMFT
• Michael James Tkach, PSY.D., LP
• TLC Nursing Services of Roseville Inc (TLC Home Care of the Twin Cities)
• TNT Wellness Center
• Wael Toama, MD
• Todd a Thayer DDS Ms PA (Thayer Orthodontics)
• Pawwah Toe

• Nursing Facility/Intermediate Care Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Nursing Facility/Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.