Provider Demographics
NPI:1508991480
Name:T.L.C. NURSING REGISTRY
Entity Type:Organization
Organization Name:T.L.C. NURSING REGISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FARID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-964-5500
Mailing Address - Street 1:2514 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 508
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6614
Mailing Address - Country:US
Mailing Address - Phone:954-964-5500
Mailing Address - Fax:954-964-5511
Practice Address - Street 1:2514 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 508
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6614
Practice Address - Country:US
Practice Address - Phone:954-964-5500
Practice Address - Fax:954-964-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211084251E00000X
FL30211401251E00000X
251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024540600Medicaid
FL101541000Medicaid