Active NPI
Tender Loving Care Services of Georgia, L.L.C.
Doing business as Staff Builders Home Health
- Home Health Agency
- Atlanta, GA
National Provider Identifier
1710133749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 060-286
- Legal business name
- TENDER LOVING CARE SERVICES OF GEORGIA, L.L.C.
- Doing business as
- Staff Builders Home Health
- Practice address
- 2310 Parklake Dr NE
Suite 350
Atlanta, GA 30345-2913 - Phone
- (710) 938-5795
- Fax
- (770) 496-0624
- NPI assigned
- Aug 11, 2008
- Organization subpart
- Yes
- Parent organization
- TENDER LOVING CARE SERVICES OF GEORGIA, L.L.C.
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 | 060-286 | GA | Primary |
Addresses
Primary practice location
2310 Parklake Dr NE
Suite 350
Atlanta, GA 30345-2913
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 292-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000281905G | Medicaid | GA |
Other names 1
- Staff Builders Home Health
National Provider Directory
National Provider Directory- Tax ID family
- Tender Loving Care Health Care Services of Georgia LLC
- Part of
- Tender Loving Care Health Care Services of Georgia LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Staff Builders Home Health
- Home Health Agency
- College Park, GA
- NPI 1710134267
Locations
2310 Parklake Dr NE
Ste 350
Atlanta, GA 30345
Phone (710) 938-5795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282176000000",
"number": "1710133749",
"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": "2310 PARKLAKE DR NE",
"address_2": "SUITE 350",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452913",
"telephone_number": "710-938-5795",
"fax_number": "770-496-0624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER LOVING CARE SERVICES OF GEORGIA, L.L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TENDER LOVING CARE SERVICES OF GEORGIA, L.L.C.",
"enumeration_date": "2008-08-11",
"last_updated": "2010-08-19",
"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": "GA",
"license": "060-286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000281905G",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Staff Builders Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.