Provider Demographics
NPI:1902073943
Name:TENDER LOVE AND CARE STAFFING AGENCY LLC
Entity Type:Organization
Organization Name:TENDER LOVE AND CARE STAFFING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VERNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-273-6224
Mailing Address - Street 1:11628 S CHOCTAW DR STE 219
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-2107
Mailing Address - Country:US
Mailing Address - Phone:225-273-6224
Mailing Address - Fax:
Practice Address - Street 1:11628 S CHOCTAW DR STE 219
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-2107
Practice Address - Country:US
Practice Address - Phone:225-273-6224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA7010311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1456942Medicaid
LA1456934Medicaid