Healthcare Provider Details

I. General information

NPI: 1588310577
Provider Name (Legal Business Name): TLCS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 HOWE AVE STE 300
SACRAMENTO CA
95825-4732
US

IV. Provider business mailing address

650 HOWE AVE BLDG 400A
SACRAMENTO CA
95825-4731
US

V. Phone/Fax

Practice location:
  • Phone: 916-247-5516
  • Fax:
Mailing address:
  • Phone: 916-441-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARLYN SEPULVEDA
Title or Position: COO
Credential:
Phone: 916-247-5516