Provider Demographics
NPI:1740525914
Name:TLC CARE PLUS HOME HEALTH, LLC
Entity type:Organization
Organization Name:TLC CARE PLUS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOSHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:231-342-2634
Mailing Address - Street 1:8460 ALGOMA AVE NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-7968
Mailing Address - Country:US
Mailing Address - Phone:231-944-6560
Mailing Address - Fax:866-712-4004
Practice Address - Street 1:8460 ALGOMA AVE NE
Practice Address - Street 2:SUITE A
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-7968
Practice Address - Country:US
Practice Address - Phone:231-944-6560
Practice Address - Fax:866-712-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health