Healthcare Provider Details

I. General information

NPI: 1417531096
Provider Name (Legal Business Name): TLC HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 NE 17TH ST
OCALA FL
34470-4602
US

IV. Provider business mailing address

1836 NE 17TH ST
OCALA FL
34470-4602
US

V. Phone/Fax

Practice location:
  • Phone: 352-575-6055
  • Fax:
Mailing address:
  • Phone: 786-523-2799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KATEVA J NEWELL
Title or Position: DIRECTOR
Credential:
Phone: 786-523-2799