Provider Demographics
NPI:1134684863
Name:TENDERHEARTED HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:TENDERHEARTED HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NIKKENYA
Authorized Official - Middle Name:SHANEE
Authorized Official - Last Name:MOLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-325-7991
Mailing Address - Street 1:2601 W MCNICHOLS RD APT 201
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-3230
Mailing Address - Country:US
Mailing Address - Phone:248-325-7991
Mailing Address - Fax:
Practice Address - Street 1:2601 W MCNICHOLS RD APT 201
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-3230
Practice Address - Country:US
Practice Address - Phone:248-325-7991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health