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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1324L003
- 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, 2007
- Organization subpart
- Yes
- Parent organization
- TLC HEALTH CARE SERVICES, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02638080 | Medicaid | NY | |
| 8390061 | Other | NY | NY INDEPENDENT HEALTH |
| 1189203 | Other | NY | UNIVERSAL HEALTH CARE |
| 02658226 | Medicaid | NY | |
| 201031840028 | Other | NY | NY HEALTH NOW INFUSION |
Other names 1
- Staff Builders Services
National Provider Directory
National Provider Directory- Tax ID family
- Staff Builders Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Staff Builders Services
- Home Health Agency
- Buffalo, NY
- NPI 1982739819
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.