Provider Demographics
NPI:1083752166
Name:TENDER LOVING HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:TENDER LOVING HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-315-4161
Mailing Address - Street 1:132 EASTMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-3002
Mailing Address - Country:US
Mailing Address - Phone:910-692-7706
Mailing Address - Fax:910-692-7706
Practice Address - Street 1:132 EASTMAN ROAD
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-3002
Practice Address - Country:US
Practice Address - Phone:910-692-7706
Practice Address - Fax:910-692-7706
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENDER LOVING HEALTH CARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-02
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3629251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601696Medicaid