Provider Demographics
NPI:1164815080
Name:TLC CAREGIVERS
Entity Type:Organization
Organization Name:TLC CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-339-3423
Mailing Address - Street 1:33649 BASHAN RD
Mailing Address - Street 2:
Mailing Address - City:LONG BOTTOM
Mailing Address - State:OH
Mailing Address - Zip Code:45743-1108
Mailing Address - Country:US
Mailing Address - Phone:740-339-3423
Mailing Address - Fax:
Practice Address - Street 1:33649 BASHAN RD
Practice Address - Street 2:
Practice Address - City:LONG BOTTOM
Practice Address - State:OH
Practice Address - Zip Code:45743-1108
Practice Address - Country:US
Practice Address - Phone:740-339-3423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherEIN