Healthcare Provider Details

I. General information

NPI: 1770450421
Provider Name (Legal Business Name): TLC PLUS HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2025
Last Update Date: 10/18/2025
Certification Date: 10/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27574 COMMERCE CENTER DR STE 231
TEMECULA CA
92590-2536
US

IV. Provider business mailing address

27574 COMMERCE CENTER DR STE 231
TEMECULA CA
92590-2536
US

V. Phone/Fax

Practice location:
  • Phone: 951-777-8839
  • Fax: 951-777-8839
Mailing address:
  • Phone: 951-777-8839
  • Fax: 951-777-8839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. MARITES DUNGCA UY
Title or Position: RN CLINICAL MANAGER
Credential:
Phone: 818-915-6466