Healthcare Provider Details
I. General information
NPI: 1861984213
Provider Name (Legal Business Name): TCH ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2018
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
153 E MAIN ST STE A
NEW ALBANY IN
47150-5856
US
IV. Provider business mailing address
153 E MAIN ST STE A
NEW ALBANY IN
47150-5856
US
V. Phone/Fax
- Phone: 812-670-5959
- Fax: 812-670-5958
- Phone: 812-670-5959
- Fax: 812-670-5958
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 18-014395-1 |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | 18-014395-1 |
| License Number State | IN |
VIII. Authorized Official
Name:
THOMAS
CHRISTIAN
HILBRICH
Title or Position: OWNER
Credential:
Phone: 812-670-5959