TLC Medical Daycare for Adults, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

02560 Issued in NH

Legal business name

TLC MEDICAL DAYCARE FOR ADULTS, INC

Practice address

211 Loudon Rd
Suite H
Concord, NH 03301-6099

Phone

(603) 224-8171

Fax

(603) 224-8150

NPI assigned

Apr 6, 2007

Last updated

Sep 21, 2007By 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

Mrs. Jean C Fiske, RN, C

Title

President

Phone

(603) 224-8171

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1942322037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LOUDON RD",
            "address_2": "SUITE H",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016099",
            "telephone_number": "603-224-8171",
            "fax_number": "603-224-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LOUDON RD",
            "address_2": "SUITE H",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016099",
            "telephone_number": "603-224-8171",
            "fax_number": "603-224-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL DAYCARE FOR ADULTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "FISKE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-224-8171",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, C"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NH",
            "license": "02560",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NH",
            "license": "02560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011353",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011500",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Concord, NH
• Providers in Concord, NH by specialty
• Adult Care Home Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.