Organization Active NPI

TLC Room and Board

  • Case Manager/Care Coordinator
  • Palmdale, CA
National Provider Identifier
1629549464
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
TLC ROOM AND BOARD
Practice address
38733 9TH St E Ste O
Palmdale, CA 93550-2910
Phone
(661) 317-3401
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Tracy D Phillips, NURSE/OWNER
Title
Owner
Phone
(661) 317-3401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

38733 9TH St E Ste O
Palmdale, CA 93550-2910

Mailing address

38059 Richeville St
Palmdale, CA 93552-3516
Phone (661) 317-3401

National Provider Directory

National Provider Directory

Locations

38733 9th St E
Ste O
Palmdale, CA 93550
Phone (661) 317-3401

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1629549464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38059 RICHEVILLE ST",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523516",
            "telephone_number": "661-317-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38733 9TH ST E STE O",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502910",
            "telephone_number": "661-317-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC ROOM AND BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-317-3401",
        "authorized_official_credential": "NURSE/OWNER"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.