Organization Active NPI

TC Healthcare

  • Nursing Care Agency
  • Plymouth, MN
National Provider Identifier
1780283044
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
TC HEALTHCARE
Practice address
505 Highway 169 N Ste 255
Plymouth, MN 55441-6463
Phone
(612) 877-1359
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
James P Kent
Title
Ceo
Phone
(612) 877-1359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

505 Highway 169 N Ste 255
Plymouth, MN 55441-6463

Mailing address

505 Highway 169 N Ste 255
Plymouth, MN 55441-6463
Phone (612) 877-1359

National Provider Directory

National Provider Directory

Locations

505 Highway 169 N
Ste 255
Plymouth, MN 55441
Phone (612) 455-9050

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1780283044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HIGHWAY 169 N STE 255",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416463",
            "telephone_number": "612-877-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HIGHWAY 169 N STE 255",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416463",
            "telephone_number": "612-877-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-877-1359"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

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