Provider Demographics
NPI:1790113090
Name:TLC CARE PLUS, LLC
Entity Type:Organization
Organization Name:TLC CARE PLUS, LLC
Other - Org Name:CARE PLUS TLC PRIVATE DUTY NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-884-5401
Mailing Address - Street 1:8460 ALGOMA AVE NE STE A
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-7968
Mailing Address - Country:US
Mailing Address - Phone:616-884-5401
Mailing Address - Fax:616-884-5334
Practice Address - Street 1:8460 ALGOMA AVE NE STE A
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-7968
Practice Address - Country:US
Practice Address - Phone:616-884-5401
Practice Address - Fax:616-884-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care