NPIMap

Organization Active NPI

Transitional Cardiac Care LLC

  • Home Health Registered Nurse
  • Modesto, CA
National Provider Identifier
1790296069
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
TRANSITIONAL CARDIAC CARE LLC
Doing business as
Transitional Cardiac Care LLC
Practice address
2629 Acapulco Way
Modesto, CA 95355-8732
Phone
(209) 324-9975
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Terra Goodrich, RN
Title
President
Phone
(209) 324-9975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

2629 Acapulco Way
Modesto, CA 95355-8732

Mailing address

PO Box 579033
Modesto, CA 95357-9033

Other names 1

  • Transitional Cardiac Care LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Transitional Cardiac Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1790296069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579033",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953579033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 ACAPULCO WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558732",
            "telephone_number": "209-324-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL CARDIAC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-324-9975",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitional Cardiac Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.