Healthcare Provider Details

I. General information

NPI: 1174991756
Provider Name (Legal Business Name): BEST TLC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2015
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 TIMBER CREEK DR
JEFFERSON CITY MO
65109-6520
US

IV. Provider business mailing address

305 TIMBER CREEK DR
JEFFERSON CITY MO
65109-6520
US

V. Phone/Fax

Practice location:
  • Phone: 917-708-2250
  • Fax:
Mailing address:
  • Phone: 573-808-5353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: DANIEL CHARLES BASEL
Title or Position: PRESIDENT
Credential:
Phone: 573-636-2273