TN Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TN CARE, LLC

Doing business as

The Terrace Nursing Home

Practice address

1615 Sunset Ave
Waukegan, IL 60087-3810

Phone

(847) 244-6700

Fax

(847) 244-7925

NPI assigned

Jan 6, 2012

Last updated

Jan 27, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

JLM FINANCIAL HEALTHCARE, LPAs reported in NPPES

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

Authorized official

Name

Mr. Jamie Nickle

Title

Director

Phone

(630) 501-0996

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Terrace Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1801166962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813989",
            "telephone_number": "847-767-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SUNSET AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600873810",
            "telephone_number": "847-244-6700",
            "fax_number": "847-244-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JLM FINANCIAL HEALTHCARE, LP",
        "enumeration_date": "2012-01-06",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "NICKLE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-501-0996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051664",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Terrace Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keane Mathew Thompson
• Sean Thompson
• Simone N Thompson
• Tonia Thompson
• Gabriel Tijerina
• Emily Commack Tobias
• Maria Camila Tobon
• Melania Torchalski
• Gina Marie Torre, MA QMHP
• Bradley Torres

• Skilled Nursing Facility in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Skilled Nursing Facility in Illinois

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