Provider Demographics
NPI:1578022638
Name:TENDER HEART HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:TENDER HEART HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RENAE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHORTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-751-0588
Mailing Address - Street 1:25814 ELMLEY PL
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-3490
Mailing Address - Country:US
Mailing Address - Phone:512-751-0588
Mailing Address - Fax:
Practice Address - Street 1:25814 ELMLEY PL
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-3490
Practice Address - Country:US
Practice Address - Phone:512-751-0588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health