Organization Active NPI

Tender Loving Care Health Care Services of Western New York, LLC

Doing business as Staff Builders Services

  • Home Health Agency
  • North Tonawanda, NY
National Provider Identifier
1255466108
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1324L003 Issued in NY
Legal business name
TENDER LOVING CARE HEALTH CARE SERVICES OF WESTERN NEW YORK, LLC
Doing business as
Staff Builders Services
Practice address
3784 Commerce CT
Suite 400
North Tonawanda, NY 14120-2024
Phone
(716) 807-0100
NPI assigned
Feb 22, 2007
Last updated
Jul 19, 2007By the provider in NPPES
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 1324L003 NY Primary

Addresses

Primary practice location

3784 Commerce CT
Suite 400
North Tonawanda, NY 14120-2024

Mailing address

1983 Marcus Ave
Ste 200
New Hyde Park, NY 11042-1016
Phone (516) 358-1000

Other identifiers 5

IdentifierTypeStateIssuer
02638080MedicaidNY
8390061OtherNYNY INDEPENDENT HEALTH
1189203OtherNYUNIVERSAL HEALTH CARE
02658226MedicaidNY
201031840028OtherNYNY HEALTH NOW INFUSION

Other names 1

  • Staff Builders Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Staff Builders Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1255466108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "address_2": "STE 200",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "516-358-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3784 COMMERCE CT",
            "address_2": "SUITE 400",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202024",
            "telephone_number": "716-807-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES OF WESTERN NEW YORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLC HEALTH CARE SERVICES, INC.",
        "enumeration_date": "2007-02-22",
        "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": "NY",
            "license": "1324L003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638080",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY INDEPENDENT HEALTH",
            "identifier": "8390061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE",
            "identifier": "1189203",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02658226",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY HEALTH NOW INFUSION",
            "identifier": "201031840028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staff Builders Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Tonawanda, NY

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.