Provider Demographics
NPI:1972136745
Name:TENDER ANGELS HOME CARE
Entity Type:Organization
Organization Name:TENDER ANGELS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TENDER ANGELS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOME CARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-269-4227
Mailing Address - Street 1:11900 NE 1ST ST BLDG G
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3046
Mailing Address - Country:US
Mailing Address - Phone:425-269-4227
Mailing Address - Fax:
Practice Address - Street 1:11900 NE 1ST ST BLDG G
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3046
Practice Address - Country:US
Practice Address - Phone:425-269-4227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health