Organization
TENDER LOVING CARE HEALTH CARE SERVICES OF WEST VIRGINIA, LLC
Active
Other names
Amedisys Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
5007 MID ATLANTIC DR, MORGANTOWN, WV 26508-4298
(304) 296-9898
(304) 292-5210
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1703595
WV MT ST BLUE
WV
01
—
1743032
WV BC
WV
01
—
1743058
WV BC
WV
01
—
201031840
SV CBCA
WV
01
—
201031840028
TRICARE
WV
05
—
2610099
—
OH
05
—
3810000003
—
WV
05
—
3810000004
—
WV
05
—
3810003006
—
WV
Enumeration date
06/05/2006
Last updated
09/21/2016
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