NPI Code Details Logo

NPI 1811651540

NPI 1811651540 : TLC HOME CARE LLC : VIRGILINA, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1811651540
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TLC HOME CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/28/2021
-----------------------------------------------------
    Last Update Date     |    05/18/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8183 BILL TUCK HWY 
-----------------------------------------------------
    City                 |    VIRGILINA
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24598-3167
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    434-575-6006
-----------------------------------------------------
    Fax                  |    434-575-6007
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8183 BILL TUCK HWY 
-----------------------------------------------------
    City                 |    VIRGILINA
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24598-3167
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    434-575-6006
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     TANIKA  WILKINS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    703-300-5837
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    385H00000X
-----------------------------------------------------
    Taxonomy Name        |    Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3747P1801X
-----------------------------------------------------
    Taxonomy Name        |    Personal Care Attendant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

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