Provider Demographics
NPI:1518363829
Name:TENDER JOURNEYS HOME HEALTH CARE, LC
Entity Type:Organization
Organization Name:TENDER JOURNEYS HOME HEALTH CARE, LC
Other - Org Name:TENDER JOURNEYS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DESIGNATED MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTIQUEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-686-0705
Mailing Address - Street 1:4904 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-2364
Mailing Address - Country:US
Mailing Address - Phone:816-343-8411
Mailing Address - Fax:
Practice Address - Street 1:4301 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-7701
Practice Address - Country:US
Practice Address - Phone:816-343-8411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health