Organization Active NPI

Lucy Tender Care LLC

  • Home Health Aide
  • Philadelphia, PA
National Provider Identifier
1154079564
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
LUCY TENDER CARE LLC
Practice address
409 E Penn St
Philadelphia, PA 19144-5803
Phone
(267) 304-7095
NPI assigned
Mar 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Ms. Lucille Marie Johnson, C N A
Title
Manger
Phone
(267) 304-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

409 E Penn St
Philadelphia, PA 19144-5803

Mailing address

409 E Penn St
Philadelphia, PA 19144-5803
Phone (267) 304-7095

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1154079564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E PENN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191445803",
            "telephone_number": "267-304-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E PENN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191445803",
            "telephone_number": "267-304-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCY TENDER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "267-304-7095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C N A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.