Provider Demographics
NPI:1366001497
Name:TENDERCARE OF VIRGINIA, INC.
Entity Type:Organization
Organization Name:TENDERCARE OF VIRGINIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MILES
Authorized Official - Last Name:AILOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-288-8763
Mailing Address - Street 1:PO BOX 152
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-0152
Mailing Address - Country:US
Mailing Address - Phone:804-288-8763
Mailing Address - Fax:804-417-4535
Practice Address - Street 1:14064 LITTLE BEAR CT
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VA
Practice Address - Zip Code:23192-2846
Practice Address - Country:US
Practice Address - Phone:804-288-8763
Practice Address - Fax:804-417-4535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)