Provider Demographics
NPI:1982868113
Name:TENDER CARE HEALTH SERVICES,INC.
Entity Type:Organization
Organization Name:TENDER CARE HEALTH SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:HOME HEALTH
Authorized Official - Phone:561-598-7180
Mailing Address - Street 1:5405 OKEECHOBEE BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4543
Mailing Address - Country:US
Mailing Address - Phone:561-598-7180
Mailing Address - Fax:561-598-7181
Practice Address - Street 1:5405 OKEECHOBEE BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4543
Practice Address - Country:US
Practice Address - Phone:561-598-7180
Practice Address - Fax:561-598-7181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA21163096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL21163096OtherHOME HEALTH AGENCY