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NPI Code Detail

MEDICARE: TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC

MEDICARE: TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, 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 Agency220000139CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HHA57116GOTHERCAHEALTH PLAN OF SAN MATEO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3557116OTHERCACALIFORNIA BC BS
4HHA57116GOTHERCABLUE CROSS MEDI CAL GMC

General Provider Information

NPI Number : 1750335824
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC
Provider Business Mailing Address
First Line : 3854 AMERICAN WAY STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4897
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 1350 BAYSHORE HWY
Second Line : SUITE 777
City : BURLINGAME
State : CA
Zip : 94010-1823
Country : US
Telephone Number : 650-652-9128
Fax Number : 650-652-9836
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 617-639-4092
Provider Enumeration Date : 05/21/2006
Last Update Date : 04/07/2026

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