Provider Demographics
NPI:1306371851
Name:TENDER HANDLINGS HOME CARE LLC
Entity Type:Organization
Organization Name:TENDER HANDLINGS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-471-1034
Mailing Address - Street 1:127 AYERS CT
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-5152
Mailing Address - Country:US
Mailing Address - Phone:201-471-1034
Mailing Address - Fax:
Practice Address - Street 1:127 AYERS CT
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-5152
Practice Address - Country:US
Practice Address - Phone:201-471-1034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUCEA AMBULETTE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0450155581251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1952851495Medicare NSC