Organization Active NPI

Tender Loving Care

  • Adult Day Care Clinic/Center
  • Cleveland, MS
National Provider Identifier
1376727503
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
04130501
Legal business name
TENDER LOVING CARE
Practice address
714 1St Street
Cleveland, MS 38732
Phone
(662) 846-1115
Fax
(662) 843-4550
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Pearlie Carter
Title
Director
Phone
(662) 846-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 04130501 Primary

Addresses

Primary practice location

714 1St Street
Cleveland, MS 38732

Mailing address

Post Office Box 893
Cleveland, MS 38732
Phone (662) 846-1115

Other identifiers 1

IdentifierTypeStateIssuer
04130501MedicaidMS

National Provider Directory

National Provider Directory

Locations

714 1st St
Cleveland, MS 38732
Phone (662) 846-1115

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1376727503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 893",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-846-1115",
            "fax_number": "662-843-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 1ST STREET",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-846-1115",
            "fax_number": "662-843-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "PEARLIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-846-1115",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": "04130501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04130501",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.