TC Healthcare I, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

TC HEALTHCARE I, LLC

Doing business as

Rutland Manor

Practice address

46 Nichols St
Rutland, VT 05701-3275

Phone

(802) 775-4939

Fax

(802) 773-2196

NPI assigned

Aug 1, 2008

Last updated

Aug 1, 2008By 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

Mr. Timothy Coburn

Title

Officer

Phone

(860) 930-0091

Specialties & licenses 1

Addresses

Other names 1

• Rutland Manor Doing business as

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.

• TC Healthcare I, LLC

  dba Rutland Manor

  • Assisted Living Facility
  • Rutland, VT
  • NPI 1851556930
  NPD tax ID
• TC Healthcare I, LLC

  dba Partridge House Assisted Living Community

  • Assisted Living Facility
  • Hampton, NH
  • NPI 1477718864
  NPD tax ID

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1982860771",
    "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": "2008-08-01",
        "last_updated": "2008-08-01",
        "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": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutland Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Paul Tarrant, M.D.
• Alison Lynn Tate, DPT
• Rebecca F Taylor
• TC Healthcare I, LLC (Rutland Health Care Facility)
• TC Healthcare I, LLC (Rutland Manor)
• The Golub Corporation (Price Chopper Pharmacy)
• The Inner Spiral
• The Lactation Network, LLC
• The Meadows at East Mountain
• The Mentor Connector

• Custodial Care Facility in Rutland, VT
• Providers in Rutland, VT by specialty
• Custodial Care Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.