Active NPI
Tender Loving Care
- Adult Day Care Clinic/Center
- Cleveland, MS
National Provider Identifier
1376727503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04130501 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.