Provider Demographics
NPI:1780094474
Name:TLC IN ACTION LLC
Entity type:Organization
Organization Name:TLC IN ACTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MURUGAVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENGALVARAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-822-7489
Mailing Address - Street 1:9066 GALVIN LN
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2945
Mailing Address - Country:US
Mailing Address - Phone:703-822-7489
Mailing Address - Fax:866-244-5115
Practice Address - Street 1:9066 GALVIN LN
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2945
Practice Address - Country:US
Practice Address - Phone:703-822-7489
Practice Address - Fax:866-244-5115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-141126251300000X, 251J00000X, 253Z00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251300000XAgenciesLocal Education Agency (LEA)
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care