Provider Demographics
NPI:1043197239
Name:TLC COMPASSIONTE CARE
Entity type:Organization
Organization Name:TLC COMPASSIONTE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-749-1415
Mailing Address - Street 1:4716 CHRISTIANSEN RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-5186
Mailing Address - Country:US
Mailing Address - Phone:517-749-1415
Mailing Address - Fax:
Practice Address - Street 1:4716 CHRISTIANSEN RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-5186
Practice Address - Country:US
Practice Address - Phone:517-749-1415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care