Organization Active NPI

Tender Love Nursing Care

  • Speech-Language Pathologist
  • Warner Robins, GA
National Provider Identifier
1366767022
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP004692 Issued in GA
Legal business name
TENDER LOVE NURSING CARE
Practice address
4501 Russell Pkwy Ste 1CR
Warner Robins, GA 31088-8678
Phone
(478) 714-1040
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Deanna Claudette Moore, CCC/SLPNPI 1871747204
Title
Exec. Director
Phone
(478) 714-1040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP004692 GA Primary

Addresses

Primary practice location

4501 Russell Pkwy Ste 1CR
Warner Robins, GA 31088-8678

Mailing address

328 Audrey Way
Kathleen, GA 31047-2166
Phone (478) 714-1040

National Provider Directory

National Provider Directory

Locations

4501 Russell Pkwy
Ste 1CR
Warner Robins, GA 31088
Phone (478) 714-1040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1366767022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 AUDREY WAY",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472166",
            "telephone_number": "478-714-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY STE 1CR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888678",
            "telephone_number": "478-714-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVE NURSING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "CLAUDETTE",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "478-714-1040",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.