TLC HEALTHCARE (NPI# 1659759983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659759983 |
| Entity Type | Organization |
| Organization Name | TLC HEALTHCARE |
| Other Organization Name | HEALTHCARE |
| Practice Address |
5421 Vernon Ave Saint Louis MO 63112-3313 |
| Practice Telephone | 6365236503 |
| Mailing Telephone | 6365236503 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | MS. LATISHA JANEE CRATE (HEALTHCARE) |
| Authorized Official Telephone | 6362536503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
27156000 | MO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Healthcare | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TLC HEALTHCARE LLC | 19790 Dry Canyon Ave, Bend, OR 97702 |
| Iowa Business Entities | TLC HEALTHCARE, LLC | 202 N. Main St. Suite A, Monticello, IA 52310 |
| Street Address |
5421 VERNON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63112-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356919 | Cardinal Ritter Institute-resident Services Corp | Assisted Living Facility | 5890 Eichelberger St, Saint Louis, MO 63109-3454 | 2020-11-02 |
| 1790343804 | Calvin Akins | Assisted Living Facility | 4432 W Belle Pl, Saint Louis, MO 63108-2617 | 2019-06-04 |
| 1073079091 | Homes That Care Co. | Assisted Living Facility | 4144 Lindell Blvd Ste 312, Saint Louis, MO 63108-2953 | 2019-02-14 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1508113549 | We Do That, LLC | Assisted Living Facility | 5261 Delmar Blvd Ste 216, Saint Louis, MO 63108-1013 | 2012-08-09 |
| 1356618128 | Sga Properties LLC | Assisted Living Facility | 3922 Delmar Blvd, Saint Louis, MO 63108-3502 | 2011-11-22 |
| 1326235664 | Saddler Residential Care Facility, Inc. | Assisted Living Facility | 730 Hodiamont Ave, Saint Louis, MO 63112-2002 | 2007-10-01 |
| 1083732929 | Wilbar Boarding Home Inc. | Assisted Living Facility | 4337 Maryland Ave, Saint Louis, MO 63108-2703 | 2007-03-27 |
| 1841318193 | Allways Kare Residential Facility, Inc | Assisted Living Facility | 5076 Waterman Blvd, Saint Louis, MO 63108-1102 | 2007-03-26 |
| 1003083155 | Cherokee Residential Care LLC | Assisted Living Facility | 3409 Missouri Ave, Saint Louis, MO 63118 | 2008-05-08 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63112 |
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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.