Provider Demographics
NPI:1164129680
Name:TENDER LOVE INN CARE TRANSPORTATION
Entity Type:Organization
Organization Name:TENDER LOVE INN CARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAKESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-815-4132
Mailing Address - Street 1:113 PLYMOUTH PL
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-8314
Mailing Address - Country:US
Mailing Address - Phone:267-815-4132
Mailing Address - Fax:
Practice Address - Street 1:113 PLYMOUTH PL
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-8314
Practice Address - Country:US
Practice Address - Phone:267-815-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENDER LOVE INN CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1164129680OtherMODIVCARE
DE1164129680Medicaid