Provider Demographics
NPI:1932250099
Name:TLC HOME HEALTH OF OHIO, INC.
Entity Type:Organization
Organization Name:TLC HOME HEALTH OF OHIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STUMPF
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-683-3984
Mailing Address - Street 1:203 N SELTZER ST
Mailing Address - Street 2:
Mailing Address - City:CRESTLINE
Mailing Address - State:OH
Mailing Address - Zip Code:44827-1402
Mailing Address - Country:US
Mailing Address - Phone:419-683-3984
Mailing Address - Fax:419-683-3350
Practice Address - Street 1:203 N SELTZER ST
Practice Address - Street 2:
Practice Address - City:CRESTLINE
Practice Address - State:OH
Practice Address - Zip Code:44827-1402
Practice Address - Country:US
Practice Address - Phone:419-683-3984
Practice Address - Fax:419-683-3350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2363900OtherOHIO HOME CARE WAIVER