TLC Home Nursing and Therapy Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC7972 Issued in OK

Legal business name

TLC HOME NURSING AND THERAPY SERVICES, LLC

Practice address

601 Hwy 70 N
Kingston, OK 73439-8155

Phone

(580) 564-0000

Fax

(580) 564-0004

NPI assigned

Aug 31, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dempsey Davenport, OWNER

Title

Owner

Phone

(580) 564-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• A Path of Care Home Health V, LLC

  dba A Path of Care Home Health

  • Home Health Agency
  • Kingston, OK
  • NPI 1275189300

  Sold to, 2019-10-14

  CMS change of ownership

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1760763023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HWY 70 N",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734398155",
            "telephone_number": "580-564-0000",
            "fax_number": "580-564-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HWY 70 N",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734398155",
            "telephone_number": "580-564-0000",
            "fax_number": "580-564-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOME NURSING AND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "DEMPSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-564-0000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "HC7972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alicia Thompson
• Total Therapy PLLC
• Hillary Donn Ulrich
• Farrah Walker
• Andrea Lynn Williams, RN
• Ashley Williams

• Home Health Agency in Kingston, OK
• Providers in Kingston, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.