Provider Demographics
NPI:1164844478
Name:A PLUS TLC HOME HEALTH INC
Entity Type:Organization
Organization Name:A PLUS TLC HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:BAUTISTA
Authorized Official - Last Name:ALFONZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-425-1644
Mailing Address - Street 1:6484 OHARA CT. DR.
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152
Mailing Address - Country:US
Mailing Address - Phone:407-920-8685
Mailing Address - Fax:
Practice Address - Street 1:8989 COTSWOLD DR
Practice Address - Street 2:SUITE #2
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1655
Practice Address - Country:US
Practice Address - Phone:703-425-1644
Practice Address - Fax:703-425-1844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health