Provider Demographics
NPI:1821673369
Name:TENDER CARE PEDIATRIC SERVICES, INC
Entity Type:Organization
Organization Name:TENDER CARE PEDIATRIC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOGFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-744-3622
Mailing Address - Street 1:5677 BOEING DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8811
Mailing Address - Country:US
Mailing Address - Phone:970-686-5437
Mailing Address - Fax:970-599-7008
Practice Address - Street 1:977 ELKTON DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3537
Practice Address - Country:US
Practice Address - Phone:719-600-2266
Practice Address - Fax:970-512-7138
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENDER CARE PEDIATRIC SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies