NPI Code Detail JSON Logo

1972376234 NPI number — TLC HEALTHCARE PROVIDERS LLC

NPI Number: 1972376234
Health Care Provider/Practitioner: TLC HEALTHCARE PROVIDERS LLC

Information about “1972376234” NPI (TLC HEALTHCARE PROVIDERS LLC) exists in 1972376234 in HTML format HTML  |  1972376234 in plain Text format TXT  |  1972376234 in PDF (Portable Document Format) PDF  |  1972376234 in an XML format XML  formats.

NPI Number : 1972376234 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972376234",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TLC HEALTHCARE PROVIDERS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "105 VULCAN ROAD STE 221 PMB 1100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BIRMINGHAM",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35209",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-729-4465",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "105 VULCAN RD STE 221",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BIRMINGHAM",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35209-4701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-378-8151",
    "PracticeLocationAddressFaxNumber": "205-546-8519",
    "EnumerationDate": "10/30/2023",
    "LastUpdateDate": "03/26/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOORE",
    "AuthorizedOfficialFirstName": "TIFFANEE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FNP-BC",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSN",
    "AuthorizedOfficialTelephoneNumber": "205-378-8151",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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