Organization Active NPI

TLC in Home Care, Inc.

  • Personal Care Attendant
  • San Angelo, TX
National Provider Identifier
1790886406
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
009652 Issued in TX
Legal business name
TLC IN HOME CARE, INC.
Practice address
1932 Sherwood Way
San Angelo, TX 76901
Phone
(325) 658-1307
Fax
(325) 658-1216
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Ms. Angie D Conley, R.N.
Title
Administrator
Phone
(325) 658-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X 009652 TX Primary

Addresses

Primary practice location

1932 Sherwood Way
San Angelo, TX 76901

Mailing address

1932 Sherwood Way
San Angelo, TX 76901
Phone (325) 658-1307

Other identifiers 1

IdentifierTypeStateIssuer
001014225MedicaidTX

National Provider Directory

National Provider Directory

Locations

1932 Sherwood Way
San Angelo, TX 76901
Phone (325) 658-1307

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1790886406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76901",
            "telephone_number": "325-658-1307",
            "fax_number": "325-658-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76901",
            "telephone_number": "325-658-1307",
            "fax_number": "325-658-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC IN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-658-1307",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "009652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014225",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.