Provider Demographics
NPI:1497295703
Name:TLC PERSONAL MANAGEMENT SERVICES, LLC
Entity Type:Organization
Organization Name:TLC PERSONAL MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:281-650-6562
Mailing Address - Street 1:2440 TEXAS PKWY
Mailing Address - Street 2:SUITE 390H
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4000
Mailing Address - Country:US
Mailing Address - Phone:281-650-6562
Mailing Address - Fax:888-235-9693
Practice Address - Street 1:2440 TEXAS PKWY
Practice Address - Street 2:SUITE 390H
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4000
Practice Address - Country:US
Practice Address - Phone:281-650-6562
Practice Address - Fax:888-235-9693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178323253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care