WC- Tuscola Ops, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WC- TUSCOLA OPS, LLC

Doing business as

Brookstone Estates Tuscola

Practice address

1106 E Northline Rd
Tuscola, IL 61953-7836

Phone

(217) 253-6300

Fax

(217) 253-9710

NPI assigned

Jan 8, 2015

Last updated

Jan 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rachel Russell

Title

Executive Director

Phone

(217) 253-6300

Specialties & licenses 1

Addresses

Other names 1

• Brookstone Estates Tuscola Doing business as

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1902294267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E NORTHLINE RD",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619537836",
            "telephone_number": "217-253-6300",
            "fax_number": "217-253-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E NORTHLINE RD",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619537836",
            "telephone_number": "217-253-6300",
            "fax_number": "217-253-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WC- TUSCOLA OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-253-6300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookstone Estates Tuscola",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Tuscola, IL
• Providers in Tuscola, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.