Provider Demographics
NPI:1134867799
Name:TENDER HANDS HOME CARE LLC DBA GRISWOLD HOME CARE
Entity type:Organization
Organization Name:TENDER HANDS HOME CARE LLC DBA GRISWOLD HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-652-9799
Mailing Address - Street 1:58 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-2118
Mailing Address - Country:US
Mailing Address - Phone:973-652-9799
Mailing Address - Fax:
Practice Address - Street 1:111 S ORANGE AVE STE 21
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1931
Practice Address - Country:US
Practice Address - Phone:973-378-3000
Practice Address - Fax:973-378-3078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0149300OtherHEALTH CARE SERVICE FIRM LICENSE