Healthcare Provider Details

I. General information

NPI: 1174440135
Provider Name (Legal Business Name): TLC PERSONAL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 MAIN ST STE A
MONTICELLO MS
39654-3702
US

IV. Provider business mailing address

86 HOOKER RD
SILVER CREEK MS
39663-4320
US

V. Phone/Fax

Practice location:
  • Phone: 769-600-2221
  • Fax: 601-653-9645
Mailing address:
  • Phone: 601-596-7301
  • Fax: 601-653-9645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. TANYA HORTON
Title or Position: OWNER
Credential:
Phone: 601-596-7301