Provider Demographics
NPI:1760069637
Name:TENDER LOVE CARE
Entity Type:Organization
Organization Name:TENDER LOVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLIENT SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-318-4106
Mailing Address - Street 1:52303 EMMONS RD STE 14
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46637-4288
Mailing Address - Country:US
Mailing Address - Phone:574-318-4106
Mailing Address - Fax:574-387-5378
Practice Address - Street 1:52303 EMMONS RD STE 14
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46637-4288
Practice Address - Country:US
Practice Address - Phone:574-318-4106
Practice Address - Fax:574-387-5378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care