Karen Clarke Dba TLC Adult Group Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KAREN CLARKE DBA TLC ADULT GROUP HOME

Doing business as

TLC Adult Group Home

Practice address

210 Soundward LN
Hertford, NC 27944-9749

Phone

(252) 813-5557

NPI assigned

Oct 5, 2009

Last updated

Dec 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Denise Clarke

Title

Owner

Phone

(252) 426-3496

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TLC Adult Group Home Doing business as

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1801121140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SOUNDWARD LN",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279449749",
            "telephone_number": "252-813-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SOUNDWARD LN",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279449749",
            "telephone_number": "252-813-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN CLARKE DBA TLC ADULT GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-426-3496",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-072-008",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH STATE LICENSE NUMBER",
            "identifier": "MHL-072-008",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Adult Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Intensive Mental Care Inc (Intensive Rehab-Health Services)
• Emmy Gardner Isbell
• Jack L. Boone, DDS, PA
• Sarah Jordan, BSW, MSW, LCSW-A
• Kaleb C Thompson DMD PA V (Dental Transformations-Hertford)
• Robert Earl Lane, MD
• Lend a Hand Ministry
• Life Enhancement Services
• Life, Inc.
• Lillian Brothers Family Care Home LLC

• Adult Care Home Facility in Hertford, NC
• Providers in Hertford, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.