TC HEALTHCARE I, LLC (NPI# 1700048063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700048063 |
| Entity Type | Organization |
| Organization Name | TC HEALTHCARE I, LLC |
| Other Organization Name | PAWTUCKET HEALTH CARE FACILITY |
| Practice Address |
70 Gill Ave Pawtucket RI 02861-4315 |
| Mailing Address |
86 Juniper Ln Glastonbury CT 06033-2515 |
| Practice Telephone | 4017227900 |
| Practice Fax Number | 4017239670 |
| Mailing Telephone | 8609300091 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | MR. TIMOTHY COBURN (OFFICER) |
| Authorized Official Telephone | 8609300091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pawtucket Health Care Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477718864 | Tc Healthcare I, LLC | Assisted Living Facility | 777 Lafayette Rd, Hampton, NH 03842-1228 | 2008-07-24 |
| 1982860771 | Tc Healthcare I, LLC | Custodial Care Facility | 46 Nichols St, Rutland, VT 05701-3275 | 2008-08-01 |
| 1851556930 | Tc Healthcare I, LLC | Assisted Living Facility | 46 Nichols St, Rutland, VT 05701-3275 | 2008-07-28 |
| 1336301688 | Tc Healthcare I, LLC | Skilled Nursing Facility | 290 Hanover St, Claremont, NH 03743-5034 | 2008-06-27 |
| 1215199567 | Tc Healthcare I, LLC | Skilled Nursing Facility | 22 Tuck Rd, Hampton, NH 03842-1225 | 2008-06-27 |
| 1922260272 | Tc Healthcare I, LLC | Skilled Nursing Facility | 10 Woodland Dr, Coventry, RI 02816-6716 | 2008-06-27 |
| 1811159163 | Tc Healthcare I, LLC | Skilled Nursing Facility | 735 Putnam Pike, Greenville, RI 02828-1435 | 2008-06-27 |
| 1295997526 | Tc Healthcare I, LLC | Skilled Nursing Facility | 915 Ella T Grasso Blvd, New Haven, CT 06519-5516 | 2008-06-27 |
| 1811159148 | Tc Healthcare I, LLC | Skilled Nursing Facility | 60 West St, Rocky Hill, CT 06067-3518 | 2008-06-27 |
| 1144482407 | Tc Healthcare I, LLC | Skilled Nursing Facility | 642 Metacom Ave, Warren, RI 02885-2350 | 2008-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | TC HEALTHCARE I, LLC | 86 Juniper Lane, Glastonbury, CT 06033 |
| Massachusetts Corporations | TC HEALTHCARE I, LLC | 9690 Deereco Rd., Ste 100, Timonium, MD 21093 |
| Street Address |
70 GILL AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02861-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659368702 | Haven Health Center of Pawtucket, LLC | Skilled Nursing Facility | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2005-10-04 |
| 1285242610 | Pawtucket Snf Operator LLC | Skilled Nursing Facility | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2020-07-22 |
| 1740712157 | Catarina Alves | Occupational Therapy Assistant | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2017-04-03 |
| 1487194460 | Melynda May Duggan | Physical Therapy Assistant | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2017-02-24 |
| 1194119842 | Mary Ocampo | Occupational Therapy Assistant | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2015-03-20 |
| 1972928299 | Kellie Ann Blanchette | Speech-Language Pathologist | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2014-02-24 |
| 1528481512 | Noah Schneider | Physical Therapy Assistant | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2014-01-27 |
| 1316204860 | Shallee Aggabao Saquing | Physical Therapist | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2012-04-20 |
| 1598031494 | Nicole Sellner | Occupational Therapist | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2012-03-26 |
| 1427344852 | Michelle Louise Schillinger | Occupational Therapy Assistant | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2011-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525209 | Brianna Laurila | Dietitian, Registered | 541 Cottage Street, Pawtucket, RI 02861 | 2016-09-01 |
| 1790056430 | Matthew J Lavoie | Physician Assistant | 70 Gill Ave., Pawtucket Center, Genesis Health Care, Pawtucket, RI 02861 | 2012-01-25 |
| 1356359293 | Anita N Vasvani | Dentist | 140 Newport Ave, Pawtucket, RI 02861 | 2006-08-04 |
| 1548294408 | Stop and Shop Supermarket Co LLC | Pharmacy | 368398 Cottage Street, Pawtucket, RI 02861 | 2006-07-10 |
| 1154363695 | Levis M Guzman | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861 | 2006-06-11 |
| 1265938179 | Modern Eyes LLC | Optometrist | 145 Newport Ave, Pawtucket, RI 02861 | 2018-04-01 |
| 1942313929 | Abbas Ghorieshi | Dentist | 115 Newport Ave, Pawtucket, RI 02861 | 2006-08-16 |
| 1114499506 | Arts, Sports, and Technology Resource Organization | Poetry Therapist | 175 Coyle Ave, Pawtucket, RI 02861-1007 | 2018-12-22 |
| 1235600255 | Abdoulaye Soumahoro | Driver | 68 Webster St, Pawtucket, RI 02861-1016 | 2018-12-17 |
| 1376761544 | Professional Internal Medicine Associates Inc | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861-1024 | 2007-04-23 |
| Find all providers in zip 02861 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477971893 | Ch-oak Hill LLC | Skilled Nursing Facility | 544 Pleasant St, Pawtucket, RI 02860-5726 | 2014-04-02 |
| 1659368702 | Haven Health Center of Pawtucket, LLC | Skilled Nursing Facility | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2005-10-04 |
| 1285242610 | Pawtucket Snf Operator LLC | Skilled Nursing Facility | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2020-07-22 |
| 1497207476 | Oak Hill Operations Associates LLC | Skilled Nursing Facility | 544 Pleasant St, Pawtucket, RI 02860-5726 | 2016-10-26 |
| 1902269947 | Nsl Oak Hill LLC | Skilled Nursing Facility | 544 Pleasant St, Pawtucket, RI 02860-5726 | 2016-03-29 |
| 1831485689 | Genesis | Skilled Nursing Facility | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2011-06-21 |
| 1447546155 | Genesis Rehab | Skilled Nursing Facility | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2011-06-21 |
| 1184875791 | 70 Gill Avenue Operations LLC | Skilled Nursing Facility | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2008-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952840381 | New England Premier Healthcare | Skilled Nursing Facility | 262 Poplar St, Woonsocket, RI 02895-3747 | 2017-02-17 |
| 1174986608 | Theodore J Hardgrove | Skilled Nursing Facility | 174 Woodward Rd, Providence, RI 02904-1720 | 2016-04-01 |
| 1891109336 | Senior Lifestyle Sakonnet Bay Limited Partnership | Skilled Nursing Facility | 1215 Main Rd, Tiverton, RI 02878-4246 | 2014-06-12 |
| 1144643586 | Nicole Morin | Skilled Nursing Facility | 180 Bailey St, Woonsocket, RI 02895-6302 | 2014-01-21 |
| 1093057143 | 100 Wampanoag Trail Operating Company, LLC | Skilled Nursing Facility | 100 Wampanoag Trl, Riverside, RI 02915-3736 | 2013-03-26 |
| 1831443779 | Athena Orchard View LLC | Skilled Nursing Facility | 135 Tripps Lane, East Providence, RI 02915-3017 | 2012-10-30 |
| 1558658963 | Coventry Skilled Nursing and Rehab | Skilled Nursing Facility | 10 Woodland Drive, Coventry, RI 02816 | 2011-07-06 |
| 1679874135 | 981 Kings Town Road Operating Company, LLC | Skilled Nursing Facility | 55 Scallop Shell Way, Peace Dale, RI 02879-3045 | 2010-11-15 |
| 1750533527 | Angela Niles | Skilled Nursing Facility | 6 Luther St, Johnston, RI 02919-6129 | 2008-10-10 |
| 1740432517 | Kimberly Lizotte | Skilled Nursing Facility | 642 River Rd, Lincoln, RI 02865-1406 | 2008-10-10 |
| Find all providers with the same taxonomy | ||||
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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.