Provider Demographics
NPI:1336128099
Name:TENDRA HOME HEALTH INC
Entity Type:Organization
Organization Name:TENDRA HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-809-3646
Mailing Address - Street 1:6161 BLUE LAGOON DR STE 150
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2024
Mailing Address - Country:US
Mailing Address - Phone:305-696-2323
Mailing Address - Fax:305-696-2304
Practice Address - Street 1:6161 BLUE LAGOON DR STE 150
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2024
Practice Address - Country:US
Practice Address - Phone:305-696-2323
Practice Address - Fax:305-696-2304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992058251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651142200Medicaid
FL651142200Medicaid