TRAVERSE CITY RESIDENTIA LCARE, LLC (NPI# 1356763478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356763478 |
| Entity Type | Organization |
| Organization Name | TRAVERSE CITY RESIDENTIA LCARE, LLC |
| Practice Address |
176 Island View Dr Traverse City MI 49696-9313 |
| Practice Telephone | 2313139633 |
| Mailing Telephone | 2313139633 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |
| Authorized Official Name | MRS. HELENA (SAM KAY EVANS (OWNER OF AGENCY/MANAGER/BILLING) |
| Authorized Official Telephone | 2313139633 |
| Authorized Official Credential | CAREGIVER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 9674527 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 9674527 | 05 |
| Street Address |
176 ISLAND VIEW DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49696-9313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669965901 | Audrey Jo Cornell | Behavior Technician | 3163 Douglas Drive, Suite 110, Traverse City, MI 49696 | 2018-06-12 |
| 1972026680 | Stacey Lesnick Beyer | Occupational Therapist | 1810 Chartwell Dr., Traverse City, MI 49696 | 2017-07-25 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| 1407383490 | Cassandra Mccarty | Behavior Technician | 1363 Douglas Drvie, Suite 104, Traverse City, MI 49696 | 2017-05-22 |
| 1346776317 | Kaitlynd Hamstra | Behavior Technician | 304 Christina Lane, Traverse City, MI 49696 | 2017-05-11 |
| 1831526748 | Helena Kay Evans | Home Health Aide | 176 Island View Dr., Traverse, MI 49696 | 2013-10-09 |
| 1932543295 | Quality Elder Care L.L.C. | In Home Supportive Care | 2141 Blackforest Ln, Traverse, MI 49696 | 2013-04-17 |
| 1134462195 | Tc Chiropractic PC | Chiropractor | 1000 3 Mile Road, Traverse City, MI 49696 | 2013-03-28 |
| 1134663594 | Keith Finley | Behavioral Analyst | 1363 Douglas Dr, Traverse City, MI 49696 | 2016-12-05 |
| 1295755122 | Northwest Senior Resources Incorporated | Case Management | 1609 Park Dr, Traverse City, MI 49696-5946 | 2006-07-21 |
| Find all providers in zip 49696 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225694342 | Advisacare Healthcare Solutions, Inc | Home Health | 124 N Division St, Traverse City, MI 49684-2263 | 2019-05-14 |
| 1306336524 | Kabbes Corporation | Home Health | 1212 Veterans Dr Ste 206, Traverse City, MI 49684-4734 | 2018-05-14 |
| 1225546617 | Holli Care LLC | Home Health | 2062 N Us 31 S Ste A, Traverse City, MI 49685-6997 | 2018-01-19 |
| 1215452164 | Holli Home Health Care, LLC | Home Health | 2062 North Us-31 South, Suite A, Traverse City, MI 49685 | 2017-08-11 |
| 1053716084 | Bay Home Health Care, LLC | Home Health | 680 W Sleights Rd, Traverse City, MI 49696-8358 | 2014-11-04 |
| 1629407796 | Rlk Investments, Inc. | Home Health | 1107 E Eighth St, Traverse City, MI 49686-2936 | 2013-11-08 |
| 1144522822 | Sunrise Home Health Services, Inc. | Home Health | 473 Peninsula Knolls Ct., Traverse City, MI 49686-6112 | 2010-12-01 |
| 1891000683 | Integrity Skilled Care, Inc. | Home Health | 2062 N Us 31 S, Ste A, Traverse City, MI 49685-6997 | 2010-08-17 |
| 1649595265 | Harbor Care Associates, LLC | Home Health | 3281 Racquet Club Dr, Suite C, Traverse City, MI 49684-4701 | 2010-04-07 |
| 1881922672 | St. Ann Corporation Dba Brightstar of Northern Michigan | Home Health | 525 W 14th St, Suite 6, Traverse City, MI 49684-4060 | 2009-12-07 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49696 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.