Provider Demographics
NPI:1023314069
Name:TINDELL CARE LLC
Entity type:Organization
Organization Name:TINDELL CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:ANNEL
Authorized Official - Last Name:TINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:BAA
Authorized Official - Phone:412-478-0176
Mailing Address - Street 1:5444 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-2013
Mailing Address - Country:US
Mailing Address - Phone:412-478-0176
Mailing Address - Fax:412-404-2568
Practice Address - Street 1:5444 JACKSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-2013
Practice Address - Country:US
Practice Address - Phone:412-478-0176
Practice Address - Fax:412-404-2568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA19513601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA19513601OtherDEPARTMENT OF HEALTH