Provider Demographics
NPI:1699165779
Name:TLC HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:TLC HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:BRATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:575-885-9199
Mailing Address - Street 1:110 S HALAGUENO ST STE 4
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-5748
Mailing Address - Country:US
Mailing Address - Phone:575-885-0063
Mailing Address - Fax:575-885-0065
Practice Address - Street 1:110 S HALAGUENO ST STE 4
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-5748
Practice Address - Country:US
Practice Address - Phone:575-885-0063
Practice Address - Fax:575-885-0065
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TLC HOME HEALTH CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-28
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health