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Organization

TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC

Active
Other names
Amedisys Home Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT AND CEO)
(337) 233-1307
Entity
Organization

Contact information

Practice address
645 E MISSOURI AVE STE 265, PHOENIX, AZ 85012-0005
(602) 200-0835
(602) 200-8465
Mailing address
3854 AMERICAN WAY STE A, BATON ROUGE, LA 70816-4897
(225) 292-2031
(225) 295-9678

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3720
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
037106
GROUP HEALTH COOPERATIVE
AZ
01
958879
ARIZONA PHYSICIAN IPA
AZ
05
958879
AZ
Enumeration date
05/20/2006
Last updated
04/06/2026
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