Provider Demographics
NPI:1801039227
Name:TENDER LOVING HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:TENDER LOVING HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:REID
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BROMWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-589-3159
Mailing Address - Street 1:201 PENN CENTER BLVD
Mailing Address - Street 2:SUITE 460
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5435
Mailing Address - Country:US
Mailing Address - Phone:412-825-5139
Mailing Address - Fax:412-825-5143
Practice Address - Street 1:201 PENN CENTER BLVD
Practice Address - Street 2:SUITE 460
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5435
Practice Address - Country:US
Practice Address - Phone:412-825-5139
Practice Address - Fax:412-825-5143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
164W00000X, 163W00000X
PA163WH0200X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1801039227Medicaid