Tender Loving Homecare

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

TENDER LOVING HOMECARE

Practice address

17680 Kedzie Ave Ste 106B
Hazel Crest, IL 60429-2043

Phone

(708) 206-2200

Fax

(708) 991-7247

NPI assigned

May 30, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Samuel P Mathew, MD

Title

President

Phone

(708) 206-2200

Specialties & licenses 1

Addresses

Other names 1

• Tender Loving Home Care Former legal business name

Locations

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1295393866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17680 KEDZIE AVE STE 106B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292043",
            "telephone_number": "708-206-2200",
            "fax_number": "708-991-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17680 KEDZIE AVE STE 106B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292043",
            "telephone_number": "708-206-2200",
            "fax_number": "708-991-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-206-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Loving Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Homemaker in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Homemaker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.