Provider Demographics
NPI:1124590005
Name:TENDER LOVES LLC
Entity Type:Organization
Organization Name:TENDER LOVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:COMMODORE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:717-829-8140
Mailing Address - Street 1:1529 CHRISTIAN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-2112
Mailing Address - Country:US
Mailing Address - Phone:717-829-8140
Mailing Address - Fax:202-400-3942
Practice Address - Street 1:1649 STAUB ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19140-2915
Practice Address - Country:US
Practice Address - Phone:717-829-8140
Practice Address - Fax:202-400-3942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2022-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health