Provider Demographics
NPI:1548559669
Name:TLC AT HOME, INC.
Entity Type:Organization
Organization Name:TLC AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHMKUHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-289-9021
Mailing Address - Street 1:PO BOX 1095
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-0973
Mailing Address - Country:US
Mailing Address - Phone:515-289-9021
Mailing Address - Fax:515-289-2829
Practice Address - Street 1:134 SE SHURFINE DR
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-9114
Practice Address - Country:US
Practice Address - Phone:515-289-9021
Practice Address - Fax:515-289-2829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health