MEDICARE: TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND

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
1	251E00000X	Home Health Agency	7051	MA
2	251E00000X	Home Health Agency	8017	MA

General Provider Information

NPI Number	:	1548490832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	370 MAIN ST
Second Line	:	SUITE 600
City	:	WORCESTER
State	:	MA
Zip	:	01608-1723
Country	:	US
Telephone Number	:	508-752-0309
Fax Number	:	508-755-2813

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM F BORNE
Credential	:
Telephone Number	:	225-292-2031

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	08/13/2013

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