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TENDER LOVING CARE HEALTH CARE SERVICES WESTERN LLC NPI 1750335824


NPI Information

NPI: 1750335824
Provider Name: TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC

Doing Business As: AMEDISYS HOME HEALTH CARE

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 05D0878561

Address:
1350 BAYSHORE HWY
SUITE 777
BURLINGAME, CA
ZIP 94010
Phone: (650) 652-9128
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TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC is a home health in Burlingame, CA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC NPI is 1750335824. The provider is registered as an organization entity type.
The provider Is Doing Business As Amedisys Home Health Care.

The provider's business location address is:

1350 BAYSHORE HWY
SUITE 777
BURLINGAME, CA
ZIP 94010-823
Phone: (650) 652-9128
Fax: (650) 652-9836

The provider's authorized official is Paul B Kusserow .
The authorized official title is President and has the following contact phone number (225) 292-2031.

The CLIA number assigned to this NPI record is 05D0878561 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2006 and was last updated on 9/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health220000139CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HHA57116GMEDICAIDCALIFORNIA
2HHA57116GOTHERCALIFORNIABLUE CROSS MEDI CAL GMC
3HHA57116GOTHERCALIFORNIAHEALTH PLAN OF SAN MATEO
4557116OTHERCALIFORNIACALIFORNIA BC BS
5557116MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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