TLC Enterprise, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

TLC ENTERPRISE, INC.

Practice address

23529 Little Creek Dr
Canyon Lake, CA 92587-7431

Phone

(951) 579-4632

Fax

(888) 377-1590

NPI assigned

Jul 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Roslynn Gail Palmer

Title

Executive Director

Phone

(951) 579-4632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185062400000",
    "number": "1245430875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30141 ANTELOPE RD",
            "address_2": "STE. D647",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848066",
            "telephone_number": "951-579-4632",
            "fax_number": "888-377-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23529 LITTLE CREEK DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877431",
            "telephone_number": "951-579-4632",
            "fax_number": "888-377-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-22",
        "last_updated": "2007-07-22",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ROSLYNN",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-579-4632",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff C. Swink, D.C.
• Jessica Thomas, CHC
• Marygrace Thompson, LVN
• Kali Tiefenthaler
• Michael Tiideberg
• Hedley Vankuch, AMFT
• Amber James Wagstaff, RDN
• Steven E. Weidler, D.D.S.
• Julie Zimmerer, DC

• Non-emergency Medical Transport (VAN) in Canyon Lake, CA
• Providers in Canyon Lake, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2007; 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.