Provider Demographics
NPI:1487198826
Name:TENDER CARE HOMECARE
Entity Type:Organization
Organization Name:TENDER CARE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:ANGELICA
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-842-8578
Mailing Address - Street 1:2011 TOMLINSON AVE
Mailing Address - Street 2:1FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1325
Mailing Address - Country:US
Mailing Address - Phone:646-762-2574
Mailing Address - Fax:646-762-3575
Practice Address - Street 1:2011 TOMLINSON AVE
Practice Address - Street 2:1FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1325
Practice Address - Country:US
Practice Address - Phone:646-762-2574
Practice Address - Fax:646-762-3575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-04
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04616079Medicaid