Active NPI
T.L.C. Nursing Registry
- Nursing Care Agency
- Fort Myers, FL
National Provider Identifier
1124764428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- T.L.C. NURSING REGISTRY
- Practice address
- 12553 New Brittany Blvd
Suite 3210
Fort Myers, FL 33907 - Phone
- (954) 964-5500
- Fax
- (954) 964-5511
- NPI assigned
- May 9, 2022
- Organization subpart
- Yes
- Parent organization
- TLC NURSING REGISTRY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farid Sahari
- Title
- Owner
- Phone
- (954) 964-5500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
12553 New Brittany Blvd
Suite 3210
Fort Myers, FL 33907
Mailing address
2514 Hollywood Blvd Ste 508
Hollywood, FL 33020-6635
Phone (954) 964-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024540600 | Medicaid | FL | |
| 117430800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- TLC Nursing Registry
- Part of
- TLC Nursing Registry
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Hollywood, FL
- NPI 1508991480
-
- Nursing Care Agency
- Aventura, FL
- NPI 1922575281
-
- Nursing Care Agency
- Boca Raton, FL
- NPI 1942777255
Locations
9990 Coconut Rd
Ste 318
Estero, FL 34135
12553 New Brittany Blvd
Ste 3210
Fort Myers, FL 33907
Phone (239) 691-6482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1124764428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 HOLLYWOOD BLVD STE 508",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206635",
"telephone_number": "954-964-5500",
"fax_number": "954-964-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12553 NEW BRITTANY BLVD",
"address_2": "SUITE 3210",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33907",
"telephone_number": "954-964-5500",
"fax_number": "954-964-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T.L.C. NURSING REGISTRY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TLC NURSING REGISTRY INC",
"enumeration_date": "2022-05-09",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "SAHARI",
"authorized_official_first_name": "FARID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-964-5500"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024540600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117430800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.