Provider Demographics
NPI:1598542284
Name:TENDER LOVE HOME CARE LLC
Entity Type:Organization
Organization Name:TENDER LOVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-869-4909
Mailing Address - Street 1:1104 N PARSONS AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-3133
Mailing Address - Country:US
Mailing Address - Phone:813-869-4909
Mailing Address - Fax:813-315-9452
Practice Address - Street 1:1104 N PARSONS AVE STE A
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-3133
Practice Address - Country:US
Practice Address - Phone:813-869-4909
Practice Address - Fax:813-315-9452
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENDER LOVE HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-14
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)