TLC HOME CARE LLC (NPI# 1669862793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669862793 |
| Entity Type | Organization |
| Organization Name | TLC HOME CARE LLC |
| Other Organization Name | TLC HOME CARE AGENCY |
| Practice Address |
500 E Tudor Rd Ste 200 Anchorage AK 99503-7377 |
| Practice Telephone | 9076025811 |
| Mailing Telephone | 9076025811 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | ROSALINA MAVAEGA (PRESIDENT) |
| Authorized Official Telephone | 9076025811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 1015887 | AK | Agencies |
| N | 253Z00000X | In Home Supportive Care | 1015887 | AK | Agencies |
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| TLC Home Care Agency | Doing Business As Name - Organization |
| Street Address |
500 E TUDOR RD STE 200 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-7377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431358 | Milleno Dayzen Mavaega | Case Manager/Care Coordinator | 500 E Tudor Rd Ste 200, Anchorage, AK 99503-7377 | 2019-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| 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 |
|---|---|---|---|---|
| 1417434150 | Shannon L Mckenzie | Home Health | 3913 Lynn Dr, Anchorage, AK 99508-5745 | 2018-07-25 |
| 1578065793 | Aderonke Akindipe Fnp LLC | Home Health | 2942 Gladys Marie Cir # Q, Anchorage, AK 99516-1407 | 2018-03-03 |
| 1609311430 | Shine Bright Care, LLC | Home Health | 6407 Brayton Dr Ste 100, Anchorage, AK 99507-2149 | 2017-01-03 |
| 1639521214 | Shine Bright Care | Home Health | 3007 Arctic Blvd Spc 2, Anchorage, AK 99503-3478 | 2016-07-07 |
| 1336540624 | Alaskan Home Health, Inc | Home Health | 9191 Old Seward Hwy Ste 19a, Anchorage, AK 99515-2040 | 2014-09-06 |
| 1366865859 | Infinite Care of Alaska LLC | Home Health | 165 East 56th Ave., Suite #3, Anchorage, AK 99518 | 2014-02-04 |
| 1164850707 | Aviana Home Care Services LLC | Home Health | 7671 Little Bend Cir, Anchorage, AK 99507-2945 | 2013-10-17 |
| 1609118397 | Frontier Home Health and Hospice, LLC | Home Health | 3909 Artic Blvd, Anchorage, AK 99503-5770 | 2013-03-21 |
| 1699014597 | Elizabeth Ann Moe | Home Health | 1835 Bragaw St Ste 200, Anchorage, AK 99508-3469 | 2013-02-12 |
| 1215274535 | Immediate Care | Home Health | 1835 S. Bragaw, Suite 200, Anchorage, AK 99508 | 2013-01-07 |
| Find all providers in ANCHORAGE | ||||
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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.