Organization Active NPI

TLC Professional Support Services, LLC

  • Home Health Agency
  • Danville, VA
National Provider Identifier
1497154330
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
S5189933 Issued in VA
Legal business name
TLC PROFESSIONAL SUPPORT SERVICES, LLC
Practice address
2321 Riverside Dr
Suite 35
Danville, VA 24540-4267
Phone
(434) 799-3500
Fax
(434) 799-3525
NPI assigned
Aug 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Mrs. Lori Wilson Owens, RN, BSN
Title
Member
Phone
(434) 799-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X S5189933 VA Primary
Non-emergency Medical Transport (VAN) 343900000X S5189933 VA

Addresses

Primary practice location

2321 Riverside Dr
Suite 35
Danville, VA 24540-4267

Mailing address

2321 Riverside Dr
Suite 35
Danville, VA 24540-4267
Phone (434) 799-3500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1497154330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 RIVERSIDE DR",
            "address_2": "SUITE 35",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404267",
            "telephone_number": "434-799-3500",
            "fax_number": "434-799-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 RIVERSIDE DR",
            "address_2": "SUITE 35",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404267",
            "telephone_number": "434-799-3500",
            "fax_number": "434-799-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PROFESSIONAL SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "434-799-3500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "S5189933",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "S5189933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.