Provider Demographics
NPI:1033470059
Name:TENDER LOVING CARE HOME HEALTH AGENCY,LLC
Entity Type:Organization
Organization Name:TENDER LOVING CARE HOME HEALTH AGENCY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-832-6681
Mailing Address - Street 1:33 S REAL RD STE 3
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2135
Mailing Address - Country:US
Mailing Address - Phone:661-832-6681
Mailing Address - Fax:661-832-6691
Practice Address - Street 1:33 S REAL RD STE 3
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2135
Practice Address - Country:US
Practice Address - Phone:661-832-6681
Practice Address - Fax:661-832-6691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122793251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health