Organization Active NPI

Tender Loving Care Health Care Services of Western New York, LLC

  • Home Health Agency
  • Buffalo, NY
National Provider Identifier
1982739819
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1324L001 Issued in NY
Legal business name
TENDER LOVING CARE HEALTH CARE SERVICES OF WESTERN NEW YORK, LLC
Practice address
737 Delaware Ave
Ste 216
Buffalo, NY 14209-2260
Phone
(716) 886-7867
NPI assigned
Feb 22, 2007
Organization subpart
Yes
Parent organization
TLC HEALTH CARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1324L001 NY Primary

Addresses

Primary practice location

737 Delaware Ave
Ste 216
Buffalo, NY 14209-2260

Mailing address

1983 Marcus Ave
Suite 200
New Hyde Park, NY 11042-1016
Phone (516) 358-1000

Other identifiers 2

IdentifierTypeStateIssuer
02659974MedicaidNY
02640077MedicaidNY

Other names 1

  • Staff Builders Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Staff Builders Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1983 Marcus Ave
Ste 200
New Hyde Park, NY 11042
Phone (516) 352-8548

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1982739819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "address_2": "SUITE 200",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "516-358-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 DELAWARE AVE",
            "address_2": "STE 216",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092260",
            "telephone_number": "716-886-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES OF WESTERN NEW YORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLC HEALTH CARE SERVICES, INC.",
        "enumeration_date": "2007-02-22",
        "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": "NY",
            "license": "1324L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02659974",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02640077",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staff Builders Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • 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.