Provider Demographics
NPI:1194838029
Name:TLC HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:TLC HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-848-5177
Mailing Address - Street 1:1018 S BATESVILLE RD
Mailing Address - Street 2:UNIT 3-D
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-4586
Mailing Address - Country:US
Mailing Address - Phone:864-848-5177
Mailing Address - Fax:864-848-5178
Practice Address - Street 1:1018 S BATESVILLE RD
Practice Address - Street 2:UNIT 3-D
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4586
Practice Address - Country:US
Practice Address - Phone:864-848-5177
Practice Address - Fax:864-848-5178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE2934Medicaid
SC5888590001Medicare NSC