Healthcare Provider Details

I. General information

NPI: 1861861536
Provider Name (Legal Business Name): TLJ HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4633 OLD IRONSIDES DR STE 270
SANTA CLARA CA
95054-1844
US

IV. Provider business mailing address

4633 OLD IRONSIDES DR STE 270
SANTA CLARA CA
95054-1844
US

V. Phone/Fax

Practice location:
  • Phone: 408-351-4278
  • Fax: 408-356-8202
Mailing address:
  • Phone: 408-656-8202
  • Fax: 408-351-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RAYMOND RAMA ESPIRITU
Title or Position: ADMINISTRATOR DESIGNEE
Credential:
Phone: 408-348-4503