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NPI Code Detail

MEDICARE: TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC

MEDICARE: TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency0000000239TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1201031840002OTHERTNTRICARE HUMANA PPS
24103402OTHERTNTN BCBS OF TN
3447538OTHERTNHUMANA GOLD CHOICE PPS

General Provider Information

NPI Number : 1629018999
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC
Provider Business Mailing Address
First Line : 8245 TOURNAMENT DR STE 255
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-8873
Country : US
Telephone Number : 901-748-9121
Fax Number : 901-748-9125
Provider Business Practice Location Address
First Line : 8245 TOURNAMENT DR
Second Line : SUITE 255
City : MEMPHIS
State : TN
Zip : 38125-8898
Country : US
Telephone Number : 901-748-9121
Fax Number : 901-748-9125
Authorized Official
Title or Position : SECRETARY
Name : AMBER L TUELLER
Credential :
Telephone Number : 208-207-2726
Provider Enumeration Date : 06/07/2006
Last Update Date : 03/12/2026

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Directions to “TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC ” Practice Location

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