TLC ADULT GROUP HOME (NPI# 1801121140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801121140 |
| Entity Type | Organization |
| Organization Name | TLC ADULT GROUP HOME |
| Practice Address |
186 Pirate Cove Way Hertford NC 27944-9691 |
| Practice Telephone | 2524263496 |
| Mailing Telephone | 2524263496 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |
| Authorized Official Name | MRS. KAREN DENISE CLARKE (OWNER) |
| Authorized Official Telephone | 2524263496 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MHL-072-008 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MENTAL HEALTH STATE LICENSE NUMBER | MHL-072-008 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720234495 | Tlc Adult Group Home | Clinic/Center | 401 Moline St, Durham, NC 27707-2347 | 2008-08-13 |
| Street Address |
186 PIRATE COVE WAY |
| City | HERTFORD |
| State | NC |
| Zip Code | 27944-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479662 | Perquimans Opco Holdings LLC | Non-emergency Medical Transport (VAN) | 603 South Church St, Hertford, NC 27944 | 2020-02-14 |
| 1952825812 | Family Care Pharmacy, Inc | Pharmacy | 606 S. Church St., Hertford, NC 27944 | 2017-08-01 |
| 1568834976 | Erich Paul Junger | Counselor | 207 Hwy 343 South, Camden, NC 27944 | 2015-10-24 |
| 1053718858 | Douglas W. Perry | Dentist | 181 Perry Long Road, Hertford, NC 27944 | 2014-11-24 |
| 1396086971 | Hertford Healthcare, LLC | Assisted Living Facility | 464 Two Mile Desert Road, Hertford, NC 27944 | 2013-03-07 |
| 1063559920 | Perquimans County Schools | Local Education Agency (LEA) | 411 Edenton Road Street, Hertford, NC 27944 | 2007-01-31 |
| 1124173620 | Albemarle Mental Health Center | Clinical Neuropsychologist | 101arpdc Street, Hertford, NC 27944 | 2007-01-24 |
| 1710031521 | Albemarle Mental Health Center | Social Worker | 101 Arpdc Street, Hertford, NC 27944 | 2007-01-22 |
| 1245391770 | Stephanie Stallings Gregory | Pharmacist | 606 South Church St, Hertford, NC 27944 | 2006-12-12 |
| 1861565640 | Douglas W Perry Dds Pa | Dentist | 181 Perry Long Rd, Hertford, NC 27944 | 2006-11-17 |
| Find all providers in zip 27944 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537436 | Amazing Love | Clinic/Center | 1201 W Crowell St, Monroe, NC 28112-4535 | 2020-10-27 |
| 1629677547 | Julia Kaplinska, Phd, Pllc | Clinic/Center | 4908 Vistawood Way, Durham, NC 27713-8065 | 2020-10-21 |
| 1013514587 | Lisa Johnson Reid | Clinic/Center | 3491 Evans St Ste B, Greenville, NC 27834-4534 | 2020-10-07 |
| 1609473230 | Chadwick Counseling, Pllc | Clinic/Center | 105 Chelsea Cir, Beaufort, NC 28516-9001 | 2020-10-06 |
| 1275146946 | Lakeisha Ward | Clinic/Center | 2221 W Raleigh Blvd Ste 117, Rocky Mount, NC 27803-2745 | 2020-08-24 |
| 1417570995 | Sb Psychiatry Pllc | Clinic/Center | 55 Vilcom Center Dr Ste 230, Chapel Hill, NC 27514-1690 | 2020-05-19 |
| 1467082396 | Premier Service of Carolina, Inc | Clinic/Center | 2020 Remount Rd Ste 105, Gastonia, NC 28054-7478 | 2020-01-20 |
| 1417598962 | Limitless Living Counseling & Consulting, Pllc | Clinic/Center | 806 Fairmont St, Greensboro, NC 27401-1723 | 2019-10-07 |
| 1598316770 | Renaissance Healthcare Group Raleigh, LLC | Clinic/Center | 7300 Carmel Executive Park Dr Ste 100, Charlotte, NC 28226-1307 | 2019-09-27 |
| 1255981627 | Each One Teach Two | Clinic/Center | 401 Hawthorne Ln Ste 110-224, Charlotte, NC 28204-2484 | 2019-09-17 |
| 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.