OrganizationActive
Odoms Tlc Homecare Service
NPI 1063045094 · Nurse's Aide · Jacksonville, FL
Odoms Tlc Homecare Service is a Nurse's Aide organization in Jacksonville, FL (NPI 1063045094).
Provider details
- NPI number
- 1063045094
- Entity type
- Organization
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Lolita Ellis, Medicaid Provider(904) 362-2487
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 Lansdowne Dr Apt 609
Jacksonville, FL 32211-9010
Phone: (904) 362-2487
Street-level locationGet directions
Mailing address
1600 Lansdowne Dr Apt 609
Jacksonville, FL 32211-9010
Other names (DBA / former)
- Doing business as
- Odoms Tlc Homecare Service
Registry dates
- Enumerated
- 2020-02-18
- Last updated
- 2020-02-18
- Certified
- 2020-02-18
Frequently asked questions
- What is Odoms Tlc Homecare Service's NPI number?
- Odoms Tlc Homecare Service's National Provider Identifier (NPI) is 1063045094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Odoms Tlc Homecare Service?
- Odoms Tlc Homecare Service is classified in the NPPES registry as Nurse's Aide (Nursing Service Related Providers).
- Where is Odoms Tlc Homecare Service located?
- Odoms Tlc Homecare Service's practice location on file with NPPES is 1600 Lansdowne Dr Apt 609, Jacksonville, FL 32211-9010.
- What is Odoms Tlc Homecare Service's phone number?
- The practice phone number listed in the NPPES registry for Odoms Tlc Homecare Service is (904) 362-2487.
- Who is the authorized official for Odoms Tlc Homecare Service?
- The authorized official listed on Odoms Tlc Homecare Service's NPPES record is Lolita Ellis, Medicaid Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Odoms Tlc Homecare Service's NPI active?
- Yes — Odoms Tlc Homecare Service's NPI (1063045094) is active in the NPPES registry as of the last update on 2020-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.