Tucker House II, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

369402 Issued in PA

Legal business name

TUCKER HOUSE II, INC

Doing business as

Tucker House

Practice address

1001 Wallace St
Philadelphia, PA 19123-2502

Phone

(215) 235-1600

Fax

(215) 236-2842

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald Levesque

Title

Vice President of Finance

Phone

(215) 951-4596

Specialties & licenses 1

Addresses

Other names 1

• Tucker House Doing business as

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1710095955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WALLACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232502",
            "telephone_number": "215-235-1600",
            "fax_number": "215-236-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WALLACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232502",
            "telephone_number": "215-235-1600",
            "fax_number": "215-236-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER HOUSE II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "215-951-4596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "369402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucker House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Tubens, M.D.
• Marissa Catherine Tucci
• Elizabeth Grugan Tucciarone, CRNP
• Adam Joshua Tuchinsky, DO
• Judith C Tuchman, DMD
• Tucker House Nursing and Rehabilitation Center PA, LP
• Tucker House, LLC (AristaCare at Tucker House)
• Tucker Operating, LLC (Tucker House Nursing and Rehabilitation Center)
• Tucker Truly Care Home Health Care
• Alexander Macom Tucker, M.D.

• Skilled Nursing Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.