TLC HOMECARE (NPI# 1386143071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386143071 |
| Entity Type | Organization |
| Organization Name | TLC HOMECARE |
| Other Organization Name | SHASTA SMITH |
| Practice Address |
22943 Gaukler St Saint Clair Shores MI 48080-2561 |
| Practice Telephone | 3132472707 |
| Mailing Telephone | 3132472707 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |
| Authorized Official Name | MRS. SHASTA LATISHA SMITH (OWNER) |
| Authorized Official Telephone | 5864452513 |
| Authorized Official Credential | NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 4703115854 | MI | Agencies |
| Y | 251E00000X | Home Health | MI | Agencies |
| Other Name | Type Code |
|---|---|
| Shasta Smith | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | TLC Homecare Service, LLC | 408 Polaris Circle, Erie, CO 80516 |
| System for Award Management (SAM) Entities | TLC HOMECARE SERVICES | 1550 Williston Rd, South Burlington, VT 05403-6422 |
| Vermont Business Registrations | TLC HOMECARE SERVICES | 1550 Williston Road, South Burlington, VT 05403 |
| Vermont Business Registrations | TLC HOMECARE SERVICES INC | 1550 Williston, S. Burlington, VT 05403 |
| System for Award Management (SAM) Entities | TLC HOMECARE SERVICES, INC. | 205 N Division St, Carterville, IL 62918-1248 |
| Vermont Business Registrations | TLC HOMECARE SERVICES, INC. | 1550 Williston Road, South Burlington, VT 05403 |
| Vermont Business Registrations | TLC HOMECARE SERVICES, LLC | 1550 Williston Road, South Burlington, VT 05403 |
| Indiana Business Entities | TLC HOMECARE, INC. | 1920 Scott St., Lafayette, IN 47905 |
| Street Address |
22943 GAUKLER ST |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806152 | Jojo-ouma Rasul | Home Health | 22900 Alger St, Saint Clair Shores, MI 48080-3805 | 2019-02-05 |
| 1720419245 | Dream Home Care Agency, LLC | Home Health | 21250 Harper Ave Ste 2, Saint Clair Shores, MI 48080-2221 | 2013-12-09 |
| 1376897082 | Bennett Bettercare LLC | Home Health | 19818 Sherry St, Saint Clair Shores, MI 48081-3254 | 2012-11-01 |
| 1679861264 | The Bimbe Group | Home Health | 23550 Harper Ave Ste 110, Saint Clair Shores, MI 48080-1447 | 2011-07-15 |
| 1780869016 | Elizabeth Ann Bell | Home Health | 26736 Ursuline St, Saint Clair Shores, MI 48081-3456 | 2008-01-05 |
| 1467593897 | Coast To Coast Services Inc | Home Health | 22435 Harper Avenue, Saint Clair Shores, MI 48080-1819 | 2007-02-09 |
| 1356807432 | Rapha Home Health Care LLC | Home Health | 22900 Alger St, Saint Clair Shores, MI 48080-3805 | 2019-02-14 |
| 1588182091 | John Channing Enterprises, Inc | Home Health | 22811 Greater Mack Ave Ste 109, Saint Clair Shores, MI 48080-2053 | 2017-09-05 |
| 1912429903 | Able Hearts Care LLC | Home Health | 23409 Jefferson Ave Ste 102, Saint Clair Shores, MI 48080-3449 | 2017-07-11 |
| 1790144541 | American Home Medical LLC | Home Health | 24916 Harper Ave, Saint Clair Shores, MI 48080-1242 | 2016-02-22 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on TLC HOMECARE.
| 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.