Provider Demographics
NPI:1689387656
Name:TENDER HOME CARE LLC
Entity Type:Organization
Organization Name:TENDER HOME CARE LLC
Other - Org Name:TENDER HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-458-1483
Mailing Address - Street 1:200 E WASHINGTON ST RM 100
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38930-4463
Mailing Address - Country:US
Mailing Address - Phone:662-458-1483
Mailing Address - Fax:
Practice Address - Street 1:200 E WASHINGTON ST RM 100
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-4463
Practice Address - Country:US
Practice Address - Phone:662-458-1483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care