Provider Demographics
NPI:1508001298
Name:TLC HOME CARE
Entity Type:Organization
Organization Name:TLC HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERLIE
Authorized Official - Middle Name:CRISCO
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-891-6320
Mailing Address - Street 1:645 LOCH LOMOND CIR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-0422
Mailing Address - Country:US
Mailing Address - Phone:704-891-6320
Mailing Address - Fax:
Practice Address - Street 1:645 LOCH LOMOND CIR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-0422
Practice Address - Country:US
Practice Address - Phone:704-891-6320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health