Provider Demographics
NPI:1477227312
Name:TLC HOME CORPORATION
Entity type:Organization
Organization Name:TLC HOME CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARACELI
Authorized Official - Middle Name:DELEON
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:650-483-1521
Mailing Address - Street 1:3090 MUIRFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-1235
Mailing Address - Country:US
Mailing Address - Phone:650-483-1521
Mailing Address - Fax:650-360-3620
Practice Address - Street 1:3090 MUIRFIELD CIR
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-1235
Practice Address - Country:US
Practice Address - Phone:650-483-1521
Practice Address - Fax:650-360-3620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility