# TILLMAN PRIVATE HOME CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942138953
- **Authorized official:** SHARESA LASHUN TILLMAN (OWNER)
- **Authorized official phone:** (762) 445-4925

## Contact information

- **Practice address:** 122 WASHINGTON ST, JEFFERSON, GA 30549-6660
- **Practice address phone:** (762) 445-4925
- **Mailing address:** PO BOX 54, HOSCHTON, GA 30548-0054
- **Mailing address phone:** (762) 445-4925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2026
- **Last updated:** 05/11/2026