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NPI 1134420748

NPI 1134420748 : TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND, LLC : WAKEFIELD, MA

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General NPI Number Information
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    NPI Number           |    1134420748
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    Entity Type          |    Organization 
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    Legal Business Name  |    TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND, LLC 
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Dates
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    Enumeration Date     |    11/12/2010
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    Last Update Date     |    04/17/2025
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Provider Practice Location Address
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    Address Line         |    50T AUDUBON RD 
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    City                 |    WAKEFIELD
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    State                |    MA
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    Zip                  |    01880-1203
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    Country              |    US
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    Telephone            |    978-685-2818
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    Fax                  |    978-738-5071
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Provider Business Mailing Address
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    Address Line         |    3854 AMERICAN WAY SUITE A
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70816-4013
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    Country              |    US
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    Telephone            |    225-292-2031
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    Fax                  |    225-295-9678
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Authorized Official
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    Title or Position    |    SVP TAX
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    Name                 |     TRAVIS  MIGLICCO 
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    Credential           |    
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    Telephone            |    225-299-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    7054
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    License Number State |    MA
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