Organization 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
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060-286 Issued in GA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000281905GMedicaidGA

Other names 1

  • Staff Builders Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tender Loving Care Health Care Services of Georgia LLC2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.