NPIMap

Organization Active NPI

TC Healthcare I, LLC

  • Assisted Living Facility
  • Rutland, VT
National Provider Identifier
1851556930
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TC HEALTHCARE I, LLC
Practice address
46 Nichols St
Rutland, VT 05701-3275
Phone
(802) 775-4939
Fax
(802) 773-2196
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mr. Timothy Coburn
Title
Officer
Phone
(860) 930-0091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

46 Nichols St
Rutland, VT 05701-3275

Mailing address

86 Juniper LN
Glastonbury, CT 06033-2515
Phone (860) 930-0091

Other names 1

  • Rutland Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rutland Manor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1851556930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 JUNIPER LN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332515",
            "telephone_number": "860-930-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NICHOLS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013275",
            "telephone_number": "802-775-4939",
            "fax_number": "802-773-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC HEALTHCARE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "860-930-0091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutland Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.