Active NPI
TLC Room and Board
- Case Manager/Care Coordinator
- Palmdale, CA
National Provider Identifier
1629549464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 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 DirectoryLocations
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.