TLC Community Health LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TLC COMMUNITY HEALTH LLC

Practice address

1828 S 76TH Street
Ste 103
Milwaukee, WI 53214-4610

Phone

(414) 563-7771

NPI assigned

May 12, 2023

Last updated

Dec 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Teresina P Simmons, RNNPI 1104597541

Title

Owner

Phone

(414) 563-7771

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresina P Simmons, RN

  • Registered Nurse
  • Milwaukee, WI
  • NPI 1104597541
  NPD Authorized official

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703289600000",
    "number": "1093405839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14275",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532140275",
            "telephone_number": "414-563-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 S 76TH STREET",
            "address_2": "STE 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532144610",
            "telephone_number": "414-563-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC COMMUNITY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TERESINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-563-7771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.