Provider Demographics
NPI:1568009918
Name:TAILORED CARE LLC
Entity Type:Organization
Organization Name:TAILORED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CEPHAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-883-1761
Mailing Address - Street 1:85 POINT LANDING LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-2800
Mailing Address - Country:US
Mailing Address - Phone:302-697-1633
Mailing Address - Fax:866-397-8966
Practice Address - Street 1:85 POINT LANDING LN
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:DE
Practice Address - Zip Code:19962-2800
Practice Address - Country:US
Practice Address - Phone:302-697-1633
Practice Address - Fax:866-397-8966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care