Odoms Tlc Homecare Service

LBN: Odoms Tlc Homecare Service
Odoms Tlc Homecare Service is an health care organization with primary practice located at 1600 Lansdowne Dr Apt 609 , Jacksonville FL 32211-9010. The organization recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as the primary health care specialty. Odoms Tlc Homecare Service can be contacted via phone (904) 362-2487, or through Ellis, Lolita Burnnett via phone (904) 362-2487.

Contact Information

Primary practice address
1600 Lansdowne Dr Apt 609 Jacksonville FL 32211-9010
Phone: (904) 362-2487
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Lolita Burnnett
Phone: (904) 362-2487

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1063045094
LBN Legal business name Odoms Tlc Homecare Service
DBA Doing business as
Authorized official Ellis, Lolita Burnnett
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2020
Last updated Feb 18th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063045094 NPPES
Florida MEDICAID 10179500
Florida MEDICAID 024241200

Popular Providers