- Enrollment id
- O20061103000052
- Enrollment state
- NY
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1699715961
- Multiple npi flag
- N
- Ccn
- 337260
- Associate id
- 6002822855
- Organization name
- TENDER LOVING CARE HEALTH CARE SERVICES OF NASSAU SUFFOLK, LLC
- Doing business as name
- TENDER LOVING CARE, AN AMEDISYS COMPANY
- Incorporation date
- 2004-08-19
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3237 ROUTE 112
- Address line 2
- BLDG 6, STE 2
- City
- MEDFORD
- State
- NY
- Zip code
- 117631424