Provider Demographics
NPI:1851840789
Name:TLC PLUS HOME HEALTH LLC
Entity Type:Organization
Organization Name:TLC PLUS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINO
Authorized Official - Middle Name:
Authorized Official - Last Name:CABUGUAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-926-8041
Mailing Address - Street 1:35534 CLOCHE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8549
Mailing Address - Country:US
Mailing Address - Phone:951-926-8041
Mailing Address - Fax:
Practice Address - Street 1:35534 CLOCHE DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-8549
Practice Address - Country:US
Practice Address - Phone:951-926-8041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health