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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 Agency

General Provider Information

NPI Number : 1538228218
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 : 1700 S WINCHESTER BLVD
Second Line : SUITE 102
City : CAMPBELL
State : CA
Zip : 95008-1163
Country : US
Telephone Number : 408-370-3927
Fax Number : 408-370-6690
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 617-639-4092
Provider Enumeration Date : 12/08/2006
Last Update Date : 04/07/2026

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

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