NPIMap

Organization Active NPI

Tender Loving Care Homes, Inc.

Doing business as NC Brook Haven Behavioral

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Asheville, NC
National Provider Identifier
1053623140
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-011-274 Issued in NC
Legal business name
TENDER LOVING CARE HOMES, INC.
Doing business as
NC Brook Haven Behavioral
Practice address
2 Walden Ridge Drive
Suite #30
Asheville, NC 28803-3306
Phone
(828) 676-1657
Fax
(828) 651-9083
NPI assigned
Jul 6, 2010
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jacqueline Baker
Title
Owner
Phone
(828) 676-1657

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-011-274 NC Primary
Community/Behavioral Health Agency 251S00000X MHL-011-274 NC

Addresses

Primary practice location

2 Walden Ridge Drive
Suite #30
Asheville, NC 28803-3306

Mailing address

1854 Hendersonville Rd
Unit 114
Asheville, NC 28803-2494
Phone (828) 651-0333

Other identifiers 2

IdentifierTypeStateIssuer
8303121MedicaidNC
3418503MedicaidNC

Other names 1

  • NC Brook Haven Behavioral Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140418000105 NC Part B Supplier - Clinic/Group Practice 2567694979 Receives reassigned benefits from 9 practitioners
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

1854 Hendersonville Rd
Unit 114
Asheville, NC 28803

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1053623140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 HENDERSONVILLE RD",
            "address_2": "UNIT 114",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032494",
            "telephone_number": "828-651-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WALDEN RIDGE DRIVE",
            "address_2": "SUITE #30",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033306",
            "telephone_number": "828-676-1657",
            "fax_number": "828-651-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-676-1657",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-011-274",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-011-274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303121",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418503",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NC Brook Haven Behavioral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.