TLC Homes LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

TLC HOMES LLC

Practice address

5166 Sutherland Dr
Concord, CA 94521-3146

Phone

(925) 827-2700

Fax

(925) 822-3778

NPI assigned

Mar 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Caryn Grace T Facunla

Title

Program Director

Phone

(510) 305-3956

Specialties & licenses 1

Addresses

Other names 1

• Sutherland House Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G520

Legal name

SUTHERLAND HOUSE

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jun 28, 1991

Last certification

Apr 11, 2025

Beds

6

Ownership / control type

Private (proprietary)

Most recent change of ownership

Oct 14, 2008

Facility address

5166 Sutherland Drive
Concord, CA 94521

Tax ID family

Atherton House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• TLC Homes LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Pittsburg, CA
  • NPI 1255836342
  NPD tax ID
• TLC Homes LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Concord, CA
  • NPI 1518475045
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1073018164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 CLAYTON RD STE 101",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192837",
            "telephone_number": "925-446-4431",
            "fax_number": "925-822-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5166 SUTHERLAND DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213146",
            "telephone_number": "925-827-2700",
            "fax_number": "925-822-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "FACUNLA",
        "authorized_official_first_name": "CARYN",
        "authorized_official_middle_name": "GRACE T",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "510-305-3956"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutherland House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marielle Medina Tipo
• Paula Tippery
• Nikolas Tiscareno
• Tishzee LLC
• Taryn Jonelle Malia Titcomb
• TLC Homes LLC
• Brittany To
• Isabelle Katherine Toader
• Cinnamon Tobias
• Wende A Tobler

• Intellectual Disabilities Intermediate Care Facility in Concord, CA
• Providers in Concord, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.