Active NPI
TLC & Care LLC
- Pain Clinic/Center
- Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- TLC & CARE LLC
- Practice address
- 140 Sherman St FL 2
Fairfield, CT 06824-5849 - Phone
- (203) 759-8077
- NPI assigned
- Jun 20, 2023
- Last updated
- Jan 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Clark, DNP
- Title
- Doctor of Nursing Practice
- Phone
- (203) 868-1227
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | NU | Primary |
Addresses
Primary practice location
140 Sherman St FL 2
Fairfield, CT 06824-5849
Mailing address
140 Sherman St FL 2
Fairfield, CT 06824-5849
Phone (203) 759-8077
Other practice location 1
24 Whipporwill Dr
Shelton, CT 06484-5953
Phone (203) 868-1227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2 Belden Ave
Unit 483
Norwalk, CT 06852
99 Hawley Ln
Ste 1101
Stratford, CT 06614
Phone (203) 377-5117
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Fairfield, CT
- NPI 1407529738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705795200000",
"number": "1508541350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 SHERMAN ST FL 2",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245849",
"telephone_number": "203-759-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 SHERMAN ST FL 2",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245849",
"telephone_number": "203-759-8077"
}
],
"practiceLocations": [
{
"address_1": "24 Whipporwill Dr",
"address_purpose": "LOCATION",
"city": "Shelton",
"state": "CT",
"postal_code": "064845953",
"country_code": "US",
"telephone_number": "203-868-1227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TLC & CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-20",
"last_updated": "2024-01-21",
"certification_date": "2024-01-21",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "DOCTOR OF NURSING PRACTICE",
"authorized_official_telephone_number": "203-868-1227",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.