Provider Demographics
NPI:1255658167
Name:TENDERHEARTS HHA
Entity Type:Organization
Organization Name:TENDERHEARTS HHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:P
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:419-565-3761
Mailing Address - Street 1:232 UNION ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-2320
Mailing Address - Country:US
Mailing Address - Phone:419-565-3761
Mailing Address - Fax:
Practice Address - Street 1:232 UNION ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-2320
Practice Address - Country:US
Practice Address - Phone:419-565-3761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-01
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health