Healthcare Provider Details

I. General information

NPI: 1982021002
Provider Name (Legal Business Name): TLC HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 03/22/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

R 401 N HAPPY VALLEY RD
CARLSBAD NM
88220-5731
US

IV. Provider business mailing address

R 401 N HAPPY VALLEY RD
CARLSBAD NM
88220-5731
US

V. Phone/Fax

Practice location:
  • Phone: 575-885-9199
  • Fax: 575-628-0029
Mailing address:
  • Phone: 575-885-9199
  • Fax: 575-628-0029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERRY GAIL BRATCHER
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 575-885-9199