NPIMap

Organization Active NPI

TLC Homes LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Concord, CA
National Provider Identifier
1518475045
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
VA0000683 Issued in CA
Legal business name
TLC HOMES LLC
Practice address
3515 Farm Bureau Court
Concord, CA 94519
Phone
(925) 671-9372
Fax
(925) 671-9372
NPI assigned
Jan 18, 2018
Last updated
Jan 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Caryn Facunla
Title
Program Director
Phone
(925) 446-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X VA0000683 CA Primary

Addresses

Primary practice location

3515 Farm Bureau Court
Concord, CA 94519

Mailing address

3350 Clayton Road
Suite 101
Concord, CA 94519-2840
Phone (925) 446-4431

National Provider Directory

National Provider Directory
Tax ID family
Atherton House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3350 Clayton Rd
Ste 101
Concord, CA 94519

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1518475045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 CLAYTON ROAD",
            "address_2": "SUITE 101",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192840",
            "telephone_number": "925-446-4431",
            "fax_number": "925-822-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 FARM BUREAU COURT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94519",
            "telephone_number": "925-671-9372",
            "fax_number": "925-671-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "FACUNLA",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "925-446-4431"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "VA0000683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.