Provider Demographics
NPI:1700321429
Name:LAVEE TENDER LOVING HOMECARE
Entity Type:Organization
Organization Name:LAVEE TENDER LOVING HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAVON
Authorized Official - Middle Name:ANNMARIE
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-666-8209
Mailing Address - Street 1:8908 1ST AVE # SITE1
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-5267
Mailing Address - Country:US
Mailing Address - Phone:551-666-8209
Mailing Address - Fax:201-861-2310
Practice Address - Street 1:8908 1ST AVE # SITE1
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-5267
Practice Address - Country:US
Practice Address - Phone:551-666-8209
Practice Address - Fax:201-861-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health