Provider Demographics
NPI:1851629026
Name:TENDER CARE HOME SERVICES INC.
Entity Type:Organization
Organization Name:TENDER CARE HOME SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BILLIE JO
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:585-749-8591
Mailing Address - Street 1:3621 WALWORTH RD
Mailing Address - Street 2:
Mailing Address - City:WALWORTH
Mailing Address - State:NY
Mailing Address - Zip Code:14568-9507
Mailing Address - Country:US
Mailing Address - Phone:585-749-8591
Mailing Address - Fax:315-986-1567
Practice Address - Street 1:3621 WALWORTH RD
Practice Address - Street 2:
Practice Address - City:WALWORTH
Practice Address - State:NY
Practice Address - Zip Code:14568-9507
Practice Address - Country:US
Practice Address - Phone:585-749-8591
Practice Address - Fax:315-986-1567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care