Provider Demographics
NPI:1710303151
Name:TLC OPERATIONS, INC.
Entity Type:Organization
Organization Name:TLC OPERATIONS, INC.
Other - Org Name:TAMMY LYNN CENTER FOR DEVELOPMENTAL DISABILITIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-832-3909
Mailing Address - Street 1:747 CHAPPELL DRIVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-3215
Mailing Address - Country:US
Mailing Address - Phone:919-832-3909
Mailing Address - Fax:919-863-2021
Practice Address - Street 1:747 CHAPPELL DRIVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-3215
Practice Address - Country:US
Practice Address - Phone:919-832-3909
Practice Address - Fax:919-863-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL 092-504251C00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCT2021 DAY SUPPT. ADUMedicaid
NCH0045 B3 IND.OtherIPRS STATE RESPITE
NC3408753Medicaid
NCS5150 INN. RESPITEMedicaid
NCH0045HQ RESPITE G CHMedicaid
NCB3H0045HBHQ RESPITEMedicaid
NCYP010 RESPITEOtherNCSTATE IPRS
NCH0045HB RESPITE ADULMedicaid
NCT2025 SPEC. CONSULTMedicaid