T.L.C. Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-053-008 Issued in NC

Legal business name

T.L.C. HOME, INC.

Practice address

1775 Hawkins Ave
Sanford, NC 27330-6909

Phone

(919) 774-4355

Fax

(919) 775-4103

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Ann Borge

Title

Executive Director

Phone

(919) 774-4355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G072

Legal name

T.L.C. HOME, INC.

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jan 21, 1988

Last certification

Jan 21, 2026

Beds

10

Ownership / control type

Private (non-profit)

Most recent change of ownership

Apr 9, 2019

Facility address

1775 Hawkins Avenue
Sanford, NC 27330

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205975653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 HAWKINS AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306909",
            "telephone_number": "919-774-4355",
            "fax_number": "919-775-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 HAWKINS AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306909",
            "telephone_number": "919-774-4355",
            "fax_number": "919-775-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.L.C. HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORGE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-774-4355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-053-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swanzetta J. Stevenson,LCSW,PLLC
• Jordana Hope Sweeney
• Faisal Fiazuddin Syed, MD
• Jeja Bushra Syeda, M.D.
• Meghan Taylor Symonds, DMD
• Ronald Michael Talis, D.P.M.
• Tams Enterprises Inc
• Tams Enterprises Inc.
• Beverly S Taylor, CRNA
• Brianna Taylor

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Sanford, NC
• Providers in Sanford, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.