Active NPI
Tender Loving Care Health Care Services of Illinois, LLC
- Home Health Agency
- Chicago, IL
National Provider Identifier
1447204516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010533
- Legal business name
- TENDER LOVING CARE HEALTH CARE SERVICES OF ILLINOIS, LLC
- Practice address
- 680 N Lake Shore Dr
Ste 920
Chicago, IL 60611-4546 - Phone
- (312) 573-0685
- Fax
- (312) 573-0698
- 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
- Mr. William Borne
- Title
- Ceo
- Phone
- (225) 292-2031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010533 | IL | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr
Ste 920
Chicago, IL 60611-4546
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306348200 | Other | IL | US DEPT OF LABOR |
| 1025113 | Other | IL | IL UNITED HEALTHCARE CONT |
| 147475 | Other | IL | ILLINOIS UNICARE |
| 50408 | Other | IL | ILLINOIS BC BS CONTRACT |
Other names 1
- Amedisys Home Health of Illinois
National Provider Directory
National Provider DirectoryLocations
680 N Lake Shore Dr
Ste 920
Chicago, IL 60611
Phone (312) 573-0685
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": "1285804800000",
"number": "1447204516",
"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": "680 N LAKE SHORE DR",
"address_2": "STE 920",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-573-0685",
"fax_number": "312-573-0698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES OF ILLINOIS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TLC HEALTH CARE SERVICES, INC.",
"enumeration_date": "2006-05-21",
"last_updated": "2010-09-30",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "306348200",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL UNITED HEALTHCARE CONT",
"identifier": "1025113",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS UNICARE",
"identifier": "147475",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS BC BS CONTRACT",
"identifier": "50408",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Home Health of Illinois",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.