Provider Demographics
NPI:1437528361
Name:TLC3 HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:TLC3 HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-743-3469
Mailing Address - Street 1:909 WESTCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1829
Mailing Address - Country:US
Mailing Address - Phone:313-743-3469
Mailing Address - Fax:313-331-2963
Practice Address - Street 1:909 WESTCHESTER RD
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-1829
Practice Address - Country:US
Practice Address - Phone:313-743-3469
Practice Address - Fax:313-331-2963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPENDINGMedicare PIN