Organization Active NPI

TLC Womens Health Center, LLC

  • Midwife
  • Pembroke Pines, FL
National Provider Identifier
1124630843
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
TLC WOMENS HEALTH CENTER, LLC
Practice address
1000 N Hiatus Rd Ste 160
Pembroke Pines, FL 33026-3096
Phone
(954) 670-9012
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Mirianellys Roque, APRN, CNMNPI 1306368394
Title
Owner
Phone
(954) 670-9012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

1000 N Hiatus Rd Ste 160
Pembroke Pines, FL 33026-3096

Mailing address

1000 N Hiatus Rd Ste 160
Pembroke Pines, FL 33026-3096
Phone (954) 670-9012

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address welovetlc@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029001382 FL Part B Supplier - Clinic/Group Practice 0345773487 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

1000 N Hiatus Rd
Ste 160
Pembroke Pines, FL 33026
Phone (954) 900-6207

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1124630843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N HIATUS RD STE 160",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263096",
            "telephone_number": "954-670-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N HIATUS RD STE 160",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263096",
            "telephone_number": "954-670-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC WOMENS HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "MIRIANELLYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-670-9012",
        "authorized_official_credential": "APRN, CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "welovetlc@outlook.com",
            "affiliation": "N",
            "address_1": "1000 N Hiatus Rd Ste 160",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330263096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.