Organization Active NPI

TLC Home Care

  • Home Health Agency
  • Lakeland, FL
National Provider Identifier
1386890911
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RN3283152 Issued in FL
Legal business name
TLC HOME CARE
Practice address
6598 Shepherd Oaks St
Lakeland, FL 33811-3160
Phone
(863) 257-1594
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mrs. Angela Marie Pannebaker, RN
Title
RN
Phone
(863) 257-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RN3283152 FL Primary

Addresses

Primary practice location

6598 Shepherd Oaks St
Lakeland, FL 33811-3160

Mailing address

6598 Shepherd Oaks St
Lakeland, FL 33811-3160
Phone (863) 257-1594

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1386890911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6598 SHEPHERD OAKS ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338113160",
            "telephone_number": "863-257-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6598 SHEPHERD OAKS ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338113160",
            "telephone_number": "863-257-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "PANNEBAKER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "863-257-1599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "RN3283152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.