Provider Demographics
NPI:1922421197
Name:TLC HOME ASSIST, LLC
Entity Type:Organization
Organization Name:TLC HOME ASSIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-524-2522
Mailing Address - Street 1:921 LAKESIDE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24121
Mailing Address - Country:US
Mailing Address - Phone:540-524-2522
Mailing Address - Fax:540-425-3033
Practice Address - Street 1:921 LAKESIDE CIR
Practice Address - Street 2:
Practice Address - City:MONETA
Practice Address - State:VA
Practice Address - Zip Code:24121-3545
Practice Address - Country:US
Practice Address - Phone:540-524-2522
Practice Address - Fax:540-425-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health