Active NPI
TLC Comfort Care LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Winter Haven, FL
National Provider Identifier
1902512825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- TLC COMFORT CARE LLC
- Practice address
- 308 Avenue K SE
Winter Haven, FL 33880-4147 - Phone
- (863) 458-5456
- NPI assigned
- Jan 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Candace R Ducking Etienne
- Title
- Executive Director
- Phone
- (863) 458-5456
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
308 Avenue K SE
Winter Haven, FL 33880-4147
Mailing address
308 Avenue K SE
Winter Haven, FL 33880-4147
Phone (863) 458-5456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109520700 | Medicaid | FL |
Other names 1
- T L C Comfort Care LLC
National Provider Directory
National Provider Directory- Tax ID family
- TLC Comfort Care LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Homemaker
- Winter Haven, FL
- NPI 1053026658
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Winter Haven, FL
- NPI 1093420077
-
- School Counselor
- Winter Haven, FL
- NPI 1952016552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1902512825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 AVENUE K SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804147",
"telephone_number": "863-458-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 AVENUE K SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804147",
"telephone_number": "863-458-5456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC COMFORT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-24",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "DUCKING ETIENNE",
"authorized_official_first_name": "CANDACE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "863-458-5456",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"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
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109520700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "T L C Comfort Care LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.