Provider Demographics
NPI:1790479236
Name:TLC AT HOME HEALTHCARE
Entity Type:Organization
Organization Name:TLC AT HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL ASSISTANT
Authorized Official - Phone:803-439-3355
Mailing Address - Street 1:645 JEFFERSON TER NE
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-4333
Mailing Address - Country:US
Mailing Address - Phone:803-439-3355
Mailing Address - Fax:
Practice Address - Street 1:1000 EIDER CIR NE APT 1204
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-7864
Practice Address - Country:US
Practice Address - Phone:803-439-3355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty