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NPI Code Detail

MEDICARE: KAYS TENDER LOVING CARE LLC

MEDICARE: KAYS TENDER LOVING CARE 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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1487586004
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAYS TENDER LOVING CARE LLC
Provider Business Mailing Address
First Line : 303 SENOIA RD # J77
Second Line :
City : FAIRBURN
State : GA
Zip : 30213-1653
Country : US
Telephone Number : 770-873-7823
Fax Number :
Provider Business Practice Location Address
First Line : 303 SENOIA RD # J77
Second Line :
City : FAIRBURN
State : GA
Zip : 30213-1653
Country : US
Telephone Number : 770-873-7823
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANNAKAY SIMMS
Credential :
Telephone Number : 770-873-7823
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “KAYS TENDER LOVING CARE LLC ” Practice Location

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