Active NPI
Tender Loving Care Home Care Inc.
- Home Health Agency
- Covington, GA
National Provider Identifier
1477674125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 079-R-0001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 960910942A | Medicaid | GA | |
| 960910942C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.