Provider Demographics
NPI:1013184902
Name:TLCC ENTERPRISES LLC
Entity Type:Organization
Organization Name:TLCC ENTERPRISES LLC
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:IRMSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-744-7722
Mailing Address - Street 1:3536 UNIVERSITY BLVD N
Mailing Address - Street 2:SUITE 176
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-2422
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3536 UNIVERSITY BLVD N
Practice Address - Street 2:SUITE 176
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277-2422
Practice Address - Country:US
Practice Address - Phone:904-744-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-11
Last Update Date:2008-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHC229988251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL692378000Medicaid