Organization Active NPI

Tender Loving Care Home Care Inc.

  • Home Health Agency
  • Covington, GA
National Provider Identifier
1477674125
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
079-R-0001 Issued in GA
Legal business name
TENDER LOVING CARE HOME CARE INC.
Practice address
8218 Hazelbrand Rd NE
Suite B
Covington, GA 30014-1502
Phone
(706) 468-5151
Fax
(678) 625-7167
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Mrs. Felisa Ann Dudley
Title
Administrator
Phone
(678) 625-7166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 079-R-0001 GA Primary

Addresses

Primary practice location

8218 Hazelbrand Rd NE
Suite B
Covington, GA 30014-1502

Mailing address

8218 Hazelbrand Rd NE
Suite B
Covington, GA 30014-1502
Phone (706) 468-5151

Other identifiers 2

IdentifierTypeStateIssuer
960910942AMedicaidGA
960910942CMedicaidGA

National Provider Directory

National Provider Directory

Locations

8218 Hazelbrand Rd NE
Ste B
Covington, GA 30014
Phone (678) 964-9874

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1477674125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 HAZELBRAND RD NE",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141502",
            "telephone_number": "706-468-5151",
            "fax_number": "678-625-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 HAZELBRAND RD NE",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141502",
            "telephone_number": "706-468-5151",
            "fax_number": "678-625-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "FELISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-625-7166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "079-R-0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "960910942A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "960910942C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.