TLC Homecare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TLC HOMECARE INC

Practice address

4200 Broadway Ste C
Oakland, CA 94611-5130

Phone

(510) 458-8215

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Alexis Chettiar

Title

Ceo

Phone

(510) 458-8215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559311

Legal name

TLC HOMECARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 10, 2021

Last certification

Mar 10, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

4200 Broadway
Ste C
Oakland, CA 94611-5130

Listed as

TLC Homecare, IncCCN 559311

Ownership

Proprietary

Certified

Mar 10, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1255977955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BROADWAY STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115130",
            "telephone_number": "510-458-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BROADWAY STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115130",
            "telephone_number": "510-458-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "CHETTIAR",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-458-8215"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilbert Tirtadinata
• Cole Titus
• Ericka Jazmin Tiu
• Michael Tiura, PHD
• Janice Tizon Williams
• Jessica Toda
• Lakecia Todd-Smith
• Apryl Todd, LCSW
• Joseph Nagbe Togba Jr., MD
• Diann Tokars, PHD

• Home Health Agency in Oakland, CA
• Providers in Oakland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.