Elderly Tender Loving Companionship

LBN: Elderly Tender Loving Companionship
Elderly Tender Loving Companionship is an health care organization with primary practice located at 336 Grande Sunningdale Loop , Daytona Beach FL 32124-3039. The organization recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as the primary health care specialty. Elderly Tender Loving Companionship can be contacted via phone (386) 675-2702, or through Hollins, Lakesha Demetra via phone (386) 675-2702.

Contact Information

Primary practice address
336 Grande Sunningdale Loop Daytona Beach FL 32124-3039
Phone: (386) 675-2702
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hollins, Lakesha Demetra
Phone: (386) 675-2702

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1558931253
LBN Legal business name Elderly Tender Loving Companionship
DBA Doing business as
Authorized official Hollins, Lakesha Demetra
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2021
Last updated Jun 25th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558931253 NPPES
Florida MEDICAID 109625200

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