Organization Active NPI

TLC Healthcare

  • Assisted Living Facility (Mental Illness)
  • Saint Louis, MO
National Provider Identifier
1659759983
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
27156000 Issued in MO
Legal business name
TLC HEALTHCARE
Practice address
5421 Vernon Ave
Saint Louis, MO 63112-3313
Phone
(636) 523-6503
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Ms. Latisha Janee CrateNPI 1689050189
Title
Healthcare
Phone
(636) 253-6503

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)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 27156000 MO Primary

Addresses

Primary practice location

5421 Vernon Ave
Saint Louis, MO 63112-3313

Mailing address

5421 Vernon Ave
Saint Louis, MO 63112-3313
Phone (636) 523-6503

Other names 1

  • Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1659759983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 VERNON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123313",
            "telephone_number": "636-523-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 VERNON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123313",
            "telephone_number": "636-523-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "CRATE",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_middle_name": "JANEE",
        "authorized_official_title_or_position": "HEALTHCARE",
        "authorized_official_telephone_number": "636-253-6503",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "27156000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.