NPIMap

Organization Active NPI

Tlchomecare LLC

Doing business as Shasta Smith

  • Home Health Agency
  • Clinton TWP, MI
National Provider Identifier
1386143071
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TLCHOMECARE LLC
Doing business as
Shasta Smith
tlc homecare llc
Practice address
37469 Charter Oaks Blvd
Clinton TWP, MI 48036-2415
Phone
(313) 247-2707
NPI assigned
Feb 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Mrs. Shasta Latisha SmithNPI 1386596930
Title
Owner
Phone
(313) 247-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary
Home Health Agency 251E00000X 4703115854 MI

Addresses

Primary practice location

37469 Charter Oaks Blvd
Clinton TWP, MI 48036-2415

Mailing address

37469 Charter Oaks Blvd
Clinton TWP, MI 48036-2415
Phone (313) 247-2707

Other identifiers 1

IdentifierTypeStateIssuer
273601772MedicaidMI

Other names 2

  • Shasta Smith Doing business as
  • tlc homecare llc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1386143071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37469 CHARTER OAKS BLVD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362415",
            "telephone_number": "313-247-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37469 CHARTER OAKS BLVD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362415",
            "telephone_number": "313-247-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLCHOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHASTA",
        "authorized_official_middle_name": "LATISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-247-2707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "4703115854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273601772",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta Smith",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shasta Smith",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "tlc homecare llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.