Provider Demographics
NPI:1225478837
Name:TLC HOME CARE SERVICES
Entity Type:Organization
Organization Name:TLC HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOLENE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:HINCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-791-2577
Mailing Address - Street 1:14784 QUARTER HORSE DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-9031
Mailing Address - Country:US
Mailing Address - Phone:605-791-2577
Mailing Address - Fax:605-791-3074
Practice Address - Street 1:14784 QUARTER HORSE DR
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57703-9031
Practice Address - Country:US
Practice Address - Phone:605-791-2577
Practice Address - Fax:605-791-3074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-27
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies