Healthcare Provider Details

I. General information

NPI: 1124764428
Provider Name (Legal Business Name): T.L.C. NURSING REGISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12553 NEW BRITTANY BLVD SUITE 3210
FORT MYERS FL
33907
US

IV. Provider business mailing address

2514 HOLLYWOOD BLVD STE 508
HOLLYWOOD FL
33020-6635
US

V. Phone/Fax

Practice location:
  • Phone: 954-964-5500
  • Fax: 954-964-5511
Mailing address:
  • Phone: 954-964-5500
  • Fax: 954-964-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FARID SAHARI
Title or Position: OWNER
Credential:
Phone: 954-964-5500