Active NPI
Tender Loving Care Health Care Services Western, LLC
Doing business as Amedisys Home Health Care
- Home Health Agency
- Riverside, CA
National Provider Identifier
1396799466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 250000310
- Legal business name
- TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC
- Doing business as
- Amedisys Home Health Care
- Practice address
- 1770 Iowa Ave
Suite 110
Riverside, CA 92507-2430 - Phone
- (951) 341-6400
- Fax
- (951) 222-2910
- NPI assigned
- May 21, 2006
- Organization subpart
- Yes
- Parent organization
- TLC HEALTH CARE SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Borne
- Title
- Ceo
- Phone
- (225) 292-2031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 250000310 | CA | Primary |
Addresses
Primary practice location
1770 Iowa Ave
Suite 110
Riverside, CA 92507-2430
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 557029 | Other | CA | CALIFORNIA BC CA |
| ZZZ66266Z | Other | CA | CA BLUE SHEILD |
| 557029 | Other | CA | CA BC FED EMPLOYEES PROG |
| HHA57029H | Medicaid | CA |
Other names 1
- Amedisys Home Health Care
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Amedisys Home Health Care
- Home Health Agency
- Campbell, CA
- NPI 1538228218
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375315200000",
"number": "1396799466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-292-2031",
"fax_number": "225-295-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 IOWA AVE",
"address_2": "SUITE 110",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072430",
"telephone_number": "951-341-6400",
"fax_number": "951-222-2910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TLC HEALTH CARE SERVICES, INC.",
"enumeration_date": "2006-05-21",
"last_updated": "2013-08-01",
"status": "A",
"authorized_official_last_name": "BORNE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-292-2031"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "250000310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BC CA",
"identifier": "557029",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BLUE SHEILD",
"identifier": "ZZZ66266Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BC FED EMPLOYEES PROG",
"identifier": "557029",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA57029H",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.