TLC ROOM AND BOARD (NPI# 1629549464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629549464 |
| Entity Type | Organization |
| Organization Name | TLC ROOM AND BOARD |
| Practice Address |
38733 9th St E Ste O Palmdale CA 93550-2910 |
| Mailing Address |
38059 Richeville St Palmdale CA 93552-3516 |
| Practice Telephone | 6613173401 |
| Mailing Telephone | 6613173401 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | TRACY D PHILLIPS (OWNER) |
| Authorized Official Telephone | 6613173401 |
| Authorized Official Credential | NURSE/OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TLC ROOM AND BOARD INC | 38733 9th St E Ste 04, Palmdale, CA 93550-2911 |
| Street Address |
38733 9TH ST E STE O |
| City | PALMDALE |
| State | CA |
| Zip Code | 93550-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
| 1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
| 1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
| 1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
| 1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
| 1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
| 1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
| 1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
| 1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
| 1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
| Find all providers in zip 93550 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978839 | Melissa Shaw | Case Manager/Care Coordinator | 38608 Lynx Way, Palmdale, CA 93551-5044 | 2019-12-03 |
| 1154962314 | Emmanuel Francisco Aceves | Case Manager/Care Coordinator | 38118 Miramonte Ave, Palmdale, CA 93551-4443 | 2019-09-30 |
| 1407411648 | Kimberlee Rodriguez | Case Manager/Care Coordinator | 3714 Jacarte Ave, Palmdale, CA 93550-8396 | 2019-05-02 |
| 1629530456 | Hailee S Laitinen | Case Manager/Care Coordinator | 2436 Windwood Dr, Palmdale, CA 93550-7529 | 2019-04-01 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1164907762 | Maria Lidia Villafranco | Case Manager/Care Coordinator | 250 Grand Cypress Ave Ste 601, Palmdale, CA 93551-3675 | 2018-09-28 |
| 1861977894 | Ashley Marie Carbajal | Case Manager/Care Coordinator | 37241 Crescent Ct, Palmdale, CA 93550-6281 | 2018-09-25 |
| 1366920472 | Rosa Ibarra | Case Manager/Care Coordinator | 250 Grand Cypress Ave, Palmdale, CA 93551-3675 | 2018-07-31 |
| 1063792893 | Diana Ochoa | Case Manager/Care Coordinator | 3044 Dolomite Ave, Palmdale, CA 93550-8326 | 2011-08-24 |
| 1003102526 | Franzen Home Companion Care | Case Manager/Care Coordinator | 732 Vandal Way, Palmdale, CA 93551-4592 | 2011-06-22 |
| Find all providers in PALMDALE | ||||
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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.