Healthcare Provider Details

I. General information

NPI: 1508991480
Provider Name (Legal Business Name): T.L.C. NURSING REGISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 02/20/2020
Certification Date: 02/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2514 HOLLYWOOD BLVD SUITE 508
HOLLYWOOD FL
33020-6614
US

IV. Provider business mailing address

2514 HOLLYWOOD BLVD SUITE 508
HOLLYWOOD FL
33020-6614
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 TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number30211084
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number30211401
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

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