Provider Demographics
NPI:1366188435
Name:TLV HEALTH CARE SERVICES & MORE LLC
Entity type:Organization
Organization Name:TLV HEALTH CARE SERVICES & MORE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TEMIKA
Authorized Official - Middle Name:LASHAUN
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:HHA,CNA,PCT
Authorized Official - Phone:786-305-1750
Mailing Address - Street 1:681 GILA DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-5930
Mailing Address - Country:US
Mailing Address - Phone:786-305-1750
Mailing Address - Fax:
Practice Address - Street 1:681 GILA DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-5930
Practice Address - Country:US
Practice Address - Phone:727-851-4023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health