Healthcare Provider Details

I. General information

NPI: 1053623140
Provider Name (Legal Business Name): TENDER LOVING CARE HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2010
Last Update Date: 10/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WALDEN RIDGE DRIVE SUITE #30
ASHEVILLE NC
28803-3306
US

IV. Provider business mailing address

1854 HENDERSONVILLE RD UNIT 114
ASHEVILLE NC
28803-2494
US

V. Phone/Fax

Practice location:
  • Phone: 828-676-1657
  • Fax: 828-651-9083
Mailing address:
  • Phone: 828-651-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberMHL-011-274
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL-011-274
License Number StateNC

VIII. Authorized Official

Name: MRS. JACQUELINE BAKER
Title or Position: OWNER
Credential:
Phone: 828-676-1657