Healthcare Provider Details

I. General information

NPI: 1811651540
Provider Name (Legal Business Name): TLC HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8183 BILL TUCK HWY
VIRGILINA VA
24598-3167
US

IV. Provider business mailing address

8183 BILL TUCK HWY
VIRGILINA VA
24598-3167
US

V. Phone/Fax

Practice location:
  • Phone: 434-575-6006
  • Fax: 434-575-6007
Mailing address:
  • Phone: 434-575-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TANIKA WILKINS
Title or Position: OWNER
Credential:
Phone: 703-300-5837