Provider Demographics
NPI:1750950135
Name:TENDERNESS HOME HEALTH, LLC
Entity type:Organization
Organization Name:TENDERNESS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:331-308-0393
Mailing Address - Street 1:2201 LUDLAM RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1800
Mailing Address - Country:US
Mailing Address - Phone:414-940-8421
Mailing Address - Fax:
Practice Address - Street 1:5201 BLUE LAGOON DR STE 810
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-7050
Practice Address - Country:US
Practice Address - Phone:331-308-0393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health