Provider Demographics
NPI:1538431358
Name:TLC HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:TLC HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN
Authorized Official - Phone:702-382-8335
Mailing Address - Street 1:4535 W. SAHARA AVENUE
Mailing Address - Street 2:209
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-3710
Mailing Address - Country:US
Mailing Address - Phone:702-382-8335
Mailing Address - Fax:702-382-8927
Practice Address - Street 1:4535 W SAHARA AVE
Practice Address - Street 2:209
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-3625
Practice Address - Country:US
Practice Address - Phone:702-382-8335
Practice Address - Fax:702-382-8927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5268PCS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health