Provider Demographics
NPI:1811651540
Name:TLC HOME CARE LLC
Entity type:Organization
Organization Name:TLC HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-300-5837
Mailing Address - Street 1:8183 BILL TUCK HWY
Mailing Address - Street 2:
Mailing Address - City:VIRGILINA
Mailing Address - State:VA
Mailing Address - Zip Code:24598-3167
Mailing Address - Country:US
Mailing Address - Phone:434-575-6006
Mailing Address - Fax:
Practice Address - Street 1:8183 BILL TUCK HWY
Practice Address - Street 2:
Practice Address - City:VIRGILINA
Practice Address - State:VA
Practice Address - Zip Code:24598-3167
Practice Address - Country:US
Practice Address - Phone:434-575-6006
Practice Address - Fax:434-575-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty