Provider Demographics
NPI:1295190973
Name:TLC NURSING & COMPANIONSHIP SERVICES LLC
Entity Type:Organization
Organization Name:TLC NURSING & COMPANIONSHIP SERVICES LLC
Other - Org Name:TLC NURSING & COMPANIONSHIP SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:COULTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-931-5409
Mailing Address - Street 1:6743 RENATA CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1349
Mailing Address - Country:US
Mailing Address - Phone:832-931-5409
Mailing Address - Fax:281-864-4372
Practice Address - Street 1:6743 RENATA CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1349
Practice Address - Country:US
Practice Address - Phone:832-931-5409
Practice Address - Fax:281-864-4372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2015-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017030253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care