Provider Demographics
NPI:1609474071
Name:TENDER LOVING HOME CARE LLC
Entity Type:Organization
Organization Name:TENDER LOVING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAETAN
Authorized Official - Middle Name:NTEZEH
Authorized Official - Last Name:NKEMZI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:520-250-7898
Mailing Address - Street 1:4646 E FORT LOWELL RD STE 106
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1100
Mailing Address - Country:US
Mailing Address - Phone:520-244-3016
Mailing Address - Fax:520-244-1995
Practice Address - Street 1:4646 E FORT LOWELL RD STE 106
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1100
Practice Address - Country:US
Practice Address - Phone:520-244-3016
Practice Address - Fax:520-244-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health