Healthcare Provider Details

I. General information

NPI: 1063406593
Provider Name (Legal Business Name): TSS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 ETHAN ALLEN AVE
COLCHESTER VT
05446-3312
US

IV. Provider business mailing address

475 ETHAN ALLEN AVE
COLCHESTER VT
05446-3312
US

V. Phone/Fax

Practice location:
  • Phone: 802-655-1025
  • Fax: 802-655-1962
Mailing address:
  • Phone: 802-655-1025
  • Fax: 802-655-1962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0270000353
License Number StateVT

VIII. Authorized Official

Name: MR. THOMAS E RICE SR.
Title or Position: MANAGING PARTNER
Credential:
Phone: 802-295-7511