Provider Demographics
NPI:1225696230
Name:TMC HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:TMC HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AIDE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TIPHANIE
Authorized Official - Middle Name:JENEL
Authorized Official - Last Name:GADSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-589-4121
Mailing Address - Street 1:PO BOX 1782
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29716-1782
Mailing Address - Country:US
Mailing Address - Phone:812-589-4121
Mailing Address - Fax:
Practice Address - Street 1:14118 ARBOR RIDGE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-8878
Practice Address - Country:US
Practice Address - Phone:812-589-4121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty