NPIMap

Organization Active NPI

TLC Homes LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Pittsburg, CA
National Provider Identifier
1255836342
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
TLC HOMES LLC
Practice address
94 Atherton Cir
Pittsburg, CA 94565-4708
Phone
(925) 427-0877
Fax
(925) 822-3778
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Caryn Grace T Facunla
Title
Program Director
Phone
(510) 305-3956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

94 Atherton Cir
Pittsburg, CA 94565-4708

Mailing address

3350 Clayton Rd Ste 101
Concord, CA 94519-2837
Phone (925) 446-4431

Other names 1

  • Atherton House Other name

National Provider Directory

National Provider Directory
Tax ID family
Atherton House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1255836342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 CLAYTON RD STE 101",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192837",
            "telephone_number": "925-446-4431",
            "fax_number": "925-822-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 ATHERTON CIR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654708",
            "telephone_number": "925-427-0877",
            "fax_number": "925-822-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "FACUNLA",
        "authorized_official_first_name": "CARYN",
        "authorized_official_middle_name": "GRACE T",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "510-305-3956"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atherton House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.