Provider Demographics
NPI:1275849747
Name:TLC NURSING ASSOCIATES INC.
Entity Type:Organization
Organization Name:TLC NURSING ASSOCIATES INC.
Other - Org Name:TLC HOMECARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:802-735-1123
Mailing Address - Street 1:PO BOX 2244
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05407-2244
Mailing Address - Country:US
Mailing Address - Phone:802-735-1123
Mailing Address - Fax:877-867-9432
Practice Address - Street 1:1550 WILLISTON RD
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6422
Practice Address - Country:US
Practice Address - Phone:802-735-1123
Practice Address - Fax:877-867-9432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03723251E00000X
NH03731251G00000X
VT251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health