Provider Demographics
NPI:1437180833
Name:TENDER TOUCH HOME HEALTH, LLC
Entity Type:Organization
Organization Name:TENDER TOUCH HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SURIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-663-9322
Mailing Address - Street 1:4943 SW 75 AVENUE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155
Mailing Address - Country:US
Mailing Address - Phone:305-663-9322
Mailing Address - Fax:305-661-4077
Practice Address - Street 1:4943 SW 75 AVENUE
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155
Practice Address - Country:US
Practice Address - Phone:305-663-9322
Practice Address - Fax:305-661-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991833251E00000X
FL19964390251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651043400Medicaid
FL651043400Medicaid