TLC HOMES LLC (NPI# 1518475045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518475045 |
Entity Type | Organization |
Organization Name | TLC HOMES LLC |
Practice Address |
3515 Farm Bureau Court Concord CA 94519 |
Mailing Address |
3350 Clayton Road Suite 101 Concord CA 94519-2840 |
Practice Telephone | 9256719372 |
Practice Fax Number | 9256719372 |
Mailing Telephone | 9254464431 |
Mailing Fax Number | 9258223778 |
Enumeration Date | 2018-01-18 |
Last Update Date | 2018-01-18 |
Authorized Official Name | CARYN FACUNLA (PROGRAM DIRECTOR) |
Authorized Official Telephone | 9254464431 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | VA0000683 | CA | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255836342 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 94 Atherton Cir, Pittsburg, CA 94565-4708 | 2018-03-29 |
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 |
3515 FARM BUREAU COURT |
City | CONCORD |
State | CA |
Zip Code | 94519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023581949 | Kristian Dee Arthur Williams | Behavior Technician | 1335 North Dutton Rd, Concord, CA 94519 | 2019-01-03 |
1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
1548637184 | Nicole Marie Ortega | Dental Hygienist | 3185 Claudia Drive, Concord, CA 94519 | 2015-08-31 |
1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
1013332287 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3711 Lindero Dr, Concord, CA 94519 | 2014-02-25 |
1144548017 | Joanna Christine Costello | Social Worker | 1861 Silverwood Dr., Concord, CA 94519 | 2010-05-17 |
1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
1912171968 | Brian Richard Sheaff | Dentist | 1945 Parkside Drive, Concord, CA 94519 | 2008-04-21 |
1073706156 | Fruida D Tchekra | Counselor | 3024 Willow Pass Road, Concord, CA 94519 | 2007-08-22 |
1770708877 | Rosalyn L Burke | Dentist | 3600 Concord Blvd, Concord, CA 94519 | 2007-04-16 |
Find all providers in zip 94519 |
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 |
---|---|---|---|---|
1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
1265567333 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4118 Phoenix St, Concord, CA 94521 | 2007-02-22 |
1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
1225173958 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 2885 Lane Dr, Concord, CA 94518 | 2007-02-20 |
1174669261 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 630 Wilhelm Pl Ne, Concord, NC 28025-2532 | 2007-01-29 |
1649334996 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 5300 Hwy 200, Concord, NC 28025 | 2006-12-21 |
1952465718 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Ct, Concord, CA 94519 | 2006-12-19 |
1528121118 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521 | 2006-12-18 |
1114530524 | Rmd Services Incorporated | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Ct, Concord, CA 94519-1707 | 2020-08-25 |
Find all providers in CONCORD |
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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.