Provider Demographics
NPI:1578988457
Name:TLC HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:TLC HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:LEVERING
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:740-397-8940
Mailing Address - Street 1:1076 COSHOCTON AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-1474
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1076 COSHOCTON AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-1474
Practice Address - Country:US
Practice Address - Phone:740-397-4125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health