Provider Demographics
NPI:1043416761
Name:TENDER HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:TENDER HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:281-428-2807
Mailing Address - Street 1:5523 WEST RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-9078
Mailing Address - Country:US
Mailing Address - Phone:281-428-2807
Mailing Address - Fax:281-421-1009
Practice Address - Street 1:5523 WEST RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-9078
Practice Address - Country:US
Practice Address - Phone:281-428-2807
Practice Address - Fax:281-421-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004728251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459088Medicare ID - Type Unspecified