Active NPI
TLC Home Health Care, LLC
- Home Health Agency
- Carlsbad, NM
National Provider Identifier
1700040359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 3310
- Legal business name
- TLC HOME HEALTH CARE, LLC
- Practice address
- R 401 N Happy Valley Rd
Carlsbad, NM 88220-8822 - Phone
- (575) 885-9199
- Fax
- (575) 628-0029
- NPI assigned
- Jul 14, 2008
- Organization subpart
- Yes
- Parent organization
- TLC HOME HEALTH CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Gail Bratcher, RN
- Title
- Administrator/Owner
- Phone
- (575) 885-9199
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 2006023875 | MO | |
| Home Health Agency | 251E00000X | 3310 | NM | Primary |
| In Home Supportive Care Agency | 253Z00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
R 401 N Happy Valley Rd
Carlsbad, NM 88220-8822
Mailing address
1022 S Bishop
Rolla, MO 65401-5337
Phone (575) 706-7241
Other practice location 1
1022 S Bishop Ave
Rolla, MO 65401-4416
Phone (573) 341-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009814 | Medicaid | MO | |
| 39521389 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090914000229 | NM | Part A Provider - Home Health Agency | 9032287438 | Practice locations: Carlsbad, NM |
| O20140620001165 | NM | Part A Provider - Hospice | 9032287438 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carlsbad, NM |
Home health agency certification: CCN 327209
- Legal name
- TLC HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 21, 2010
- Last certification
- Feb 19, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- R 401 N Happy Valley Rd
Carlsbad, NM 88220-6437
Hospice certification: CCN 321571
- Legal name
- TLC HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 27, 2015
- Last certification
- Jun 16, 2021
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC
- Enrollment address
- 401 N Happy Valley Rural Rd
Carlsbad, NM 88220-5731
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Carlsbad, NM
- NPI 1982021002
9032287438
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community Based Hospice Care Agency
- Carlsbad, NM
- NPI 1982021002
O20140620001165
Care Compare: Home health agency
Medicare Care Compare- Listed as
- TLC Home Health Care, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 21, 2010
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Care Compare: Hospice
Medicare Care Compare- Listed as
- TLC Home Health Care, LLC
- Ownership
- For-Profit
- Certified
- Aug 27, 2015
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Part of
- TLC Home Health Care LLC
Locations
401 N Happy Valley Rd
Carlsbad, NM 88220
Phone (575) 885-9199
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robin F Stratman | 5% Or Greater Direct Ownership Interest | Jun 15, 2009 | 48% |
| Terry G Bratcher | 5% Or Greater Direct Ownership Interest | Jun 15, 2009 | 52% |
| Corporate Director | Jun 15, 2009 | ||
| 5% Or Greater Direct Ownership Interest | Aug 1, 2008 | 100% | |
| Operational/Managerial Control | Aug 1, 2008 | 100% | |
| Margaret Wilson | W-2 Managing Employee | Jun 15, 2009 | |
| Tonya E Roberts | Operational/Managerial Control | Aug 1, 2008 | 10% |
Practitioners & affiliated clinicians
Affiliated clinicians 18
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Carlsbad, NM
- NPI 1316254899
Home health agency
-
- Gerontology Nurse Practitioner
- Loving, NM
- NPI 1730374547
Home health agency
-
- Pain Medicine (Anesthesiology) Physician
- Carlsbad, NM
- NPI 1871541631
Home health agency
-
- Family Nurse Practitioner
- Carlsbad, NM
- NPI 1790333680
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1700040359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 S BISHOP",
"city": "ROLLA",
"state": "MO",
"postal_code": "654015337",
"telephone_number": "575-706-7241",
"fax_number": "573-341-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "R 401 N HAPPY VALLEY RD",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882208822",
"telephone_number": "575-885-9199",
"fax_number": "575-628-0029"
}
],
"practiceLocations": [
{
"address_1": "1022 S Bishop Ave",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654014416",
"country_code": "US",
"telephone_number": "573-341-5555",
"fax_number": "573-341-5557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TLC HOME HEALTH CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TLC HOME HEALTH CARE, LLC",
"enumeration_date": "2008-07-14",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "BRATCHER",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "GAIL",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "575-885-9199",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "MO",
"license": "2006023875",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NM",
"license": "3310",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009814",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39521389",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.