Organization Active NPI

Tender Loving Care Health Care Services Western, LLC

  • Home Health Agency
  • Seattle, WA
National Provider Identifier
1093769226
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS-449 Issued in WA
Legal business name
TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC
Practice address
2111 N Northgate Way
Ste 103
Seattle, WA 98133-9018
Phone
(206) 729-3900
Fax
(206) 729-6125
NPI assigned
May 20, 2006
Organization subpart
Yes
Parent organization
TLC HEALTH CARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Willard T Derr
Title
Cfo
Phone
(516) 358-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IS-449 WA Primary

Addresses

Primary practice location

2111 N Northgate Way
Ste 103
Seattle, WA 98133-9018

Mailing address

1983 Marcus Ave
Ste 200
Lake Success, NY 11042-1016
Phone (516) 358-1000

Other identifiers 1

IdentifierTypeStateIssuer
9056953MedicaidWA

Other names 1

  • Tender Loving Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1093769226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "address_2": "STE 200",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "516-358-1000",
            "fax_number": "516-327-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N NORTHGATE WAY",
            "address_2": "STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339018",
            "telephone_number": "206-729-3900",
            "fax_number": "206-729-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLC HEALTH CARE SERVICES, INC.",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "DERR",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-358-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS-449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056953",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Loving Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.