Provider Demographics
NPI:1952454597
Name:TLC HOME HEALTH CARE & NURSING INC.
Entity Type:Organization
Organization Name:TLC HOME HEALTH CARE & NURSING INC.
Other - Org Name:ALL VALLEY HOME HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-853-5050
Mailing Address - Street 1:7456 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83714-6052
Mailing Address - Country:US
Mailing Address - Phone:208-853-5050
Mailing Address - Fax:208-853-9852
Practice Address - Street 1:7456 W STATE ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83714-6052
Practice Address - Country:US
Practice Address - Phone:208-853-5050
Practice Address - Fax:208-853-9852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health