Organization Active NPI

TLC Adult Care Home, LLC

  • Adult Care Home Facility
  • Crystal, MI
National Provider Identifier
1336018795
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
TLC ADULT CARE HOME, LLC
Practice address
8294 E Sidney Rd
Crystal, MI 48818-9716
Phone
(989) 235-6184
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Mrs. Diane Marie Smith, HOME CARE PROVIDER
Title
Licensee/Owner/Care Provider
Phone
(989) 235-6184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

8294 E Sidney Rd
Crystal, MI 48818-9716

Mailing address

8294 E. Sidney Rd.
Box 148
Crystal, Mi 48818, MI 48818
Phone (989) 235-6184

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1336018795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8294 E. SIDNEY RD.",
            "address_2": "BOX 148",
            "city": "CRYSTAL, MI 48818",
            "state": "MI",
            "postal_code": "48818",
            "telephone_number": "989-235-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8294 E SIDNEY RD",
            "city": "CRYSTAL",
            "state": "MI",
            "postal_code": "488189716",
            "telephone_number": "989-235-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC ADULT CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSEE/OWNER/CARE PROVIDER",
        "authorized_official_telephone_number": "989-235-6184",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HOME CARE PROVIDER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.