A Home With TLC LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

A HOME WITH TLC LLC

Practice address

4116 Lenox Blvd
Orlando, FL 32811-4134

Phone

(407) 276-0189

NPI assigned

Jul 25, 2017

Last updated

Sep 29, 2020By 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

Johnetha BerryNPI 1619406881

Title

Owner

Phone

(407) 276-0189

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.

• Johnetha Berry

  • Assisted Living Facility
  • Orlando, FL
  • NPI 1619406881
  NPD Authorized official

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1144743733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 LENOX BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328114134",
            "telephone_number": "407-276-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 LENOX BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328114134",
            "telephone_number": "407-276-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HOME WITH TLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JOHNETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-276-0189"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Orlando, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.