Organization Active NPI

TLC Homecare Inc.

  • Nursing Care Agency
  • St Petersburg, FL
National Provider Identifier
1316598055
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
TLC HOMECARE INC.
Practice address
1921 23Rd St S
St Petersburg, FL 33712-3129
Phone
(727) 318-3461
NPI assigned
Sep 24, 2019
Last updated
Sep 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Terri Keys
Title
Administrator
Phone
(727) 318-3461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1921 23Rd St S
St Petersburg, FL 33712-3129

Mailing address

1921 23Rd St S
St Petersburg, FL 33712-3129
Phone (727) 900-5403

Other identifiers 1

IdentifierTypeStateIssuer
100683000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1316598055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 23RD ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337123129",
            "telephone_number": "727-900-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 23RD ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337123129",
            "telephone_number": "727-318-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-318-3461"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100683000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.