TLC Family Care Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12030 Issued in FL

Legal business name

TLC FAMILY CARE HOME, INC.

Practice address

34017 S Haines Creek Rd
Leesburg, FL 34788-4317

Phone

(352) 343-0433

Fax

(866) 608-4948

NPI assigned

Jun 28, 2013

Last updated

Jun 28, 2013By 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

Mr. Will R Gifford

Title

Administrator

Phone

(352) 343-0433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1215377759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34017 S HAINES CREEK RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347884317",
            "telephone_number": "352-343-0433",
            "fax_number": "866-608-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34017 S HAINES CREEK RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347884317",
            "telephone_number": "352-343-0433",
            "fax_number": "866-608-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FAMILY CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "WILL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-343-0433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen S Thompson, DO
• Seetha Thummuru
• Tige Robert Buchanan, D C P a (Buchanan Health Group)
• Sade Evelyn Timberlake
• TLC Care Solutions of Florida LLC
• TLC From the Heart Mobile Labs LLC
• To Your Health of Lake County Inc
• Jill Tolia, M.D.
• Tom K Leonard MD PA
• Todd Michael Tomlin, R.PH.

• Assisted Living Facility in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.