NPIMap

Organization Active NPI

Tender Love Pca Services

  • Developmentally Disabled Services Day Training Agency
  • Baker, LA
National Provider Identifier
1275759185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
12296 Issued in LA
Legal business name
TENDER LOVE PCA SERVICES
Practice address
4686 Groom Rd
Suite D
Baker, LA 70714-3049
Phone
(225) 775-6011
Fax
(225) 775-6078
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nora Lynetty Cossett
Title
Director
Phone
(225) 775-6011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 12296 LA Primary

Addresses

Primary practice location

4686 Groom Rd
Suite D
Baker, LA 70714-3049

Mailing address

4686 Groom Rd
Suite D
Baker, LA 70714-3049
Phone (225) 775-6011

Other identifiers 2

IdentifierTypeStateIssuer
1366528MedicaidLA
1366927MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Tender Love Pca Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275759185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 GROOM RD",
            "address_2": "SUITE D",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143049",
            "telephone_number": "225-775-6011",
            "fax_number": "225-775-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 GROOM RD",
            "address_2": "SUITE D",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143049",
            "telephone_number": "225-775-6011",
            "fax_number": "225-775-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVE PCA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSSETT",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "LYNETTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-775-6011",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "12296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366528",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366927",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.