NPI Code Details Logo

NPI 1174440135

NPI 1174440135 : TLC PERSONAL CARE SERVICES LLC : MONTICELLO, MS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174440135
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TLC PERSONAL CARE SERVICES LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/01/2026
-----------------------------------------------------
    Last Update Date     |    07/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    314 MAIN ST STE A 
-----------------------------------------------------
    City                 |    MONTICELLO
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39654-3702
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    769-600-2221
-----------------------------------------------------
    Fax                  |    601-653-9645
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    86 HOOKER RD 
-----------------------------------------------------
    City                 |    SILVER CREEK
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39663-4320
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    601-596-7301
-----------------------------------------------------
    Fax                  |    601-653-9645
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MRS. TANYA  HORTON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    601-596-7301
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    376J00000X
-----------------------------------------------------
    Taxonomy Name        |    Homemaker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.