Provider Demographics
NPI:1568063865
Name:TENDERROSE HEALTH CARE LLC
Entity Type:Organization
Organization Name:TENDERROSE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANNAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-487-2535
Mailing Address - Street 1:1076 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02124-5520
Mailing Address - Country:US
Mailing Address - Phone:617-487-2535
Mailing Address - Fax:508-348-9983
Practice Address - Street 1:1076 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02124-5520
Practice Address - Country:US
Practice Address - Phone:617-487-2535
Practice Address - Fax:508-348-9983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health