Provider Demographics
NPI:1770537854
Name:TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND, LLC
Entity type:Organization
Organization Name:TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:KUSSEROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-292-2031
Mailing Address - Street 1:3854 AMERICAN WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4896
Mailing Address - Country:US
Mailing Address - Phone:225-292-2031
Mailing Address - Fax:225-295-9678
Practice Address - Street 1:300 CENTERVILLE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-0200
Practice Address - Country:US
Practice Address - Phone:401-737-4236
Practice Address - Fax:401-738-1618
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TLC HEALTH CARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-21
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02310251E00000X
RIHNC02355251E00000X
RIHNC02384251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI407349 002OtherRI BLUE CHIP
RI5881 4OtherRI HEALTHMATE COAST TO CO
RI5881 4OtherRI BLUE CROSS BLUE SHEILD
RI1758A 2146OtherNIEGHBORHOOD HEALTH PLAN
RI407349 002OtherRI BLUE CHIP PLUS CHO
RITL56604Medicaid
RITL57250Medicaid
RI407349 002OtherRI BEHAVIORAL HEALTH
RI5881-4OtherRI BEACON MUTUAL INS. CO.
RITL57249Medicaid
RI417036Medicare Oscar/Certification