Provider Demographics
NPI:1184864704
Name:T.L.C. HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:T.L.C. HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAITHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:THUWAINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-626-8500
Mailing Address - Street 1:30095 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 60A
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3284
Mailing Address - Country:US
Mailing Address - Phone:248-626-8500
Mailing Address - Fax:
Practice Address - Street 1:30095 NORTHWESTERN HWY
Practice Address - Street 2:STE 60A
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3284
Practice Address - Country:US
Practice Address - Phone:248-626-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-22
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
239122Medicare Oscar/Certification