TLC Providers Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

TLC PROVIDERS INC

Practice address

8317 Front Beach Rd
Suite 29A1
Panama City Beach, FL 32407-4885

Phone

(850) 236-0073

Fax

(850) 236-0403

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Terry Wayne Booker

Title

Owner/Operator

Phone

(850) 236-0073

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1417251638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 FRONT BEACH RD",
            "address_2": "SUITE 29A1",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074885",
            "telephone_number": "850-236-0073",
            "fax_number": "850-236-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 FRONT BEACH RD",
            "address_2": "SUITE 29A1",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074885",
            "telephone_number": "850-236-0073",
            "fax_number": "850-236-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "850-236-0073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679970198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679970196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmitt Michael Thompson, M.D.
• Lee Adam Thompson, L. M. T.
• Amanda C Thorburn
• Claire Joy Tiglao, APRN, PMHNP
• Sarah Tilley, M.A., NCC, LMHC
• Amy Tomlin
• Ronda Toole, APRN
• Bianca A Torres
• Total Renal Care Inc
• Tranquility by the Sea

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.