MEDICARE: TCP CONNECT FINANCIAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1639753825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TCP CONNECT FINANCIAL SERVICES LLC

Provider Business Mailing Address
First Line	:	1680 SW BAYSHORE BLVD STE 229
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34984-3519
Country	:	US
Telephone Number	:	603-231-9263
Fax Number	:	877-310-8660

Provider Business Practice Location Address
First Line	:	1680 SW BAYSHORE BLVD STE 229
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34984-3519
Country	:	US
Telephone Number	:	603-231-9263
Fax Number	:	877-310-8660

Authorized Official
Title or Position	:	OWNER / ADMINISTRATOR
Name	:	MR. JEAN-CLAUDE ALCIME
Credential	:
Telephone Number	:	603-231-9263

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	05/12/2021

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