Provider Demographics
NPI:1922710011
Name:TLC FAMILY CARE HOME, INC.
Entity Type:Organization
Organization Name:TLC FAMILY CARE HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTERLITA
Authorized Official - Middle Name:S
Authorized Official - Last Name:APOSTOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-552-8083
Mailing Address - Street 1:34017 S HAINES CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-4317
Mailing Address - Country:US
Mailing Address - Phone:352-508-5221
Mailing Address - Fax:352-729-2633
Practice Address - Street 1:34112 MADIERA LN
Practice Address - Street 2:
Practice Address - City:SORRENTO
Practice Address - State:FL
Practice Address - Zip Code:32776-6958
Practice Address - Country:US
Practice Address - Phone:352-552-8083
Practice Address - Fax:352-729-2633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility