Tender Loving Care Health Care Services of Broward, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TENDER LOVING CARE HEALTH CARE SERVICES OF BROWARD, LLC

Practice address

399 Avenue B SE
Winter Haven, FL 33880-3043

Phone

(863) 291-0615

Fax

(863) 291-0517

NPI assigned

May 21, 2006

Organization subpart

Yes

Parent organization

TLC HEALTH CARE SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Willard T Derr

Title

Cfo

Phone

(516) 358-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tender Loving Care Doing business as

Locations

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1790739860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "address_2": "STE 200",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "516-358-1000",
            "fax_number": "526-327-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 AVENUE B SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803043",
            "telephone_number": "863-291-0615",
            "fax_number": "863-291-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES OF BROWARD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLC HEALTH CARE SERVICES, INC.",
        "enumeration_date": "2006-05-21",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "DERR",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-358-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE CROSS BLUE SHEILD",
            "identifier": "JX2",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Loving Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Taylor
• La'Shanda Sunshine Taylor, APRN
• Shiloh Rae Taylor, M.S., CCC-SLP
• Tameka Taylor
• Anna Tedesco
• Tender Loving Care Home Agency LLC
• Alivia Michelle Terriaca, LMHC
• Brian Thacker, HIS
• The Barranco Clinic
• The Barranco Clinic, P.a.

• Home Health Agency in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.