Healthcare Provider Details

I. General information

NPI: 1790479236
Provider Name (Legal Business Name): TLC AT HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 HAMPTON AVE NW STE G
AIKEN SC
29801-3170
US

IV. Provider business mailing address

1615 HAMPTON AVE NW STE G
AIKEN SC
29801-3170
US

V. Phone/Fax

Practice location:
  • Phone: 803-443-1559
  • Fax:
Mailing address:
  • Phone: 803-443-1559
  • Fax:

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 TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MISS NATASHA ANITA WEST
Title or Position: OWNER
Credential: MEDICAL ASSISTANT
Phone: 803-439-3355