NPIMap

Organization Active NPI

Tender Loving Care Services Midwest, LLC

Doing business as Amedisys Home Health Care

  • Home Health Agency
  • Rockford, IL
National Provider Identifier
1437470655
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010376 Issued in IL
Legal business name
TENDER LOVING CARE SERVICES MIDWEST, LLC
Doing business as
Amedisys Home Health Care
Practice address
4920 E State St
Suite 2
Rockford, IL 61108-2272
Phone
(815) 229-2605
Fax
(815) 229-2947
NPI assigned
Jun 22, 2010
Last updated
Jun 22, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
TENDER LOVING CARE SERVICES MIDWEST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Willaim F Borne
Title
President
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010376 IL Primary

Addresses

Primary practice location

4920 E State St
Suite 2
Rockford, IL 61108-2272

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 298-3548

Other identifiers 1

IdentifierTypeStateIssuer
2001032204001MedicaidIL

Other names 1

  • Amedisys Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tender Loving Care Health Care Services of Midwest LLC4 organizations share this tax ID, including this one
Part of
Tender Loving Care Health Care Services of Midwest LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4920 E State St
Ste 2
Rockford, IL 61108
Phone (815) 229-2605

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1437470655",
    "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": "225-298-3548",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 E STATE ST",
            "address_2": "SUITE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082272",
            "telephone_number": "815-229-2605",
            "fax_number": "815-229-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE SERVICES MIDWEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENDER LOVING CARE SERVICES MIDWEST, LLC",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001032204001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.