Provider Demographics
NPI:1649082140
Name:LOVE & TENDERNESS ADULT DAY PROGRAM LP
Entity type:Organization
Organization Name:LOVE & TENDERNESS ADULT DAY PROGRAM LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SUZETTE
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-392-1266
Mailing Address - Street 1:4517 FAIR AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63115-3054
Mailing Address - Country:US
Mailing Address - Phone:314-392-1266
Mailing Address - Fax:726-262-0013
Practice Address - Street 1:10018 W FLORISSANT AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-2102
Practice Address - Country:US
Practice Address - Phone:636-541-1048
Practice Address - Fax:726-262-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Single Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty