TLC Esates, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TLC ESATES, LLC

Practice address

104 Castle Dr
Madison, AL 35758-8674

Phone

(256) 468-7556

Fax

(256) 325-0733

NPI assigned

Oct 25, 2015

Organization subpart

No

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

Authorized official

Name

Jessina Amor Williams

Title

Owner

Phone

(256) 468-7556

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1427420850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357580872",
            "telephone_number": "256-468-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CASTLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588674",
            "telephone_number": "256-468-7556",
            "fax_number": "256-325-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC ESATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-25",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JESSINA",
        "authorized_official_middle_name": "AMOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-468-7556"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.