MEDICARE: TENDER LOVING CARE SENIOR LIVING 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
1	311500000X	Alzheimer Center (Dementia Center)

General Provider Information

NPI Number	:	1568399723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER LOVING CARE SENIOR LIVING LLC

Provider Business Mailing Address
First Line	:	5020 N TOMSIK ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4736
Country	:	US
Telephone Number	:	702-816-4241
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 CASA DEL REY CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1538
Country	:	US
Telephone Number	:	702-228-2994
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHERLYNNE OVERBY
Credential	:
Telephone Number	:	702-816-4241

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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