TLC HOMES LLC (NPI# 1255836342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255836342 |
| Entity Type | Organization |
| Organization Name | TLC HOMES LLC |
| Other Organization Name | ATHERTON HOUSE |
| Practice Address |
94 Atherton Cir Pittsburg CA 94565-4708 |
| Mailing Address |
3350 Clayton Rd Ste 101 Concord CA 94519-2837 |
| Practice Telephone | 9254270877 |
| Practice Fax Number | 9258223778 |
| Mailing Telephone | 9254464431 |
| Mailing Fax Number | 9258223778 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | CARYN GRACE T FACUNLA (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5103053956 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Atherton House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1073018164 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521-3146 | 2018-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | TLC HOMES LLC | 3894 S 417 W Ave, Mannford, OK 74044 |
| Virginia Business Entities | TLC HOMES LLC | 2500 N Van Dorn St Unit 1102, Alexandria, Virginia 22302 |
| Street Address |
94 ATHERTON CIR |
| City | PITTSBURG |
| State | CA |
| Zip Code | 94565-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1386287902 | Diamond Redus | Behavior Technician | 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 | 2019-10-27 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1457810939 | Richard L Anilao | Nurse's Aide | 142 San Tomas Dr, Pittsburg, CA 94565 | 2019-03-14 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1497230726 | Rosa Maria Gonzalez | Behavioral Analyst | 198 Alberts Ave, Bay Point, CA 94565 | 2018-10-02 |
| 1831670090 | Rael Bernstein Dds Apc | Dentist | 1600 N Park Blvd, Pittsburg, CA 94565 | 2018-08-27 |
| 1285120592 | Vanessa Fregoso | Behavioral Analyst | 2275 Southwood Dr., Pittsburg, CA 94565 | 2018-07-10 |
| 1457847014 | Monica Monarque | Behavioral Analyst | 2113 Cerrito Ct, Pittsburg, CA 94565 | 2018-07-06 |
| Find all providers in zip 94565 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013070036 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 3939 Meadowbrook Cir, Pittsburg, CA 94565 | 2006-12-19 |
| 1750444345 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 94 Atherton Circle, Pittsburg, CA 94565 | 2006-12-18 |
| 1760579700 | Medicalodges, Inc. | Intermediate Care Facility, Mentally Retarded | 2702 N Joplin St, Pittsburg, KS 66762-2645 | 2006-10-10 |
| 1972069763 | Amd Alternative Care Services | Intermediate Care Facility, Mentally Retarded | 3939 Meadowbrook Cir, Pittsburg, CA 94565-5539 | 2019-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
| 1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
| 1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
| 1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
| 1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
| 1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
| 1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
| 1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
| 1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
| 1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.