Provider Demographics
NPI:1811675259
Name:TANDEM HEALTHCARE INC.
Entity type:Organization
Organization Name:TANDEM HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:HAMM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:605-698-4363
Mailing Address - Street 1:1820 SD HIGHWAY 10 STE C
Mailing Address - Street 2:
Mailing Address - City:SISSETON
Mailing Address - State:SD
Mailing Address - Zip Code:57262-2527
Mailing Address - Country:US
Mailing Address - Phone:605-698-4363
Mailing Address - Fax:605-698-4367
Practice Address - Street 1:1820 SD HIGHWAY 10 STE C
Practice Address - Street 2:
Practice Address - City:SISSETON
Practice Address - State:SD
Practice Address - Zip Code:57262-2527
Practice Address - Country:US
Practice Address - Phone:605-698-4363
Practice Address - Fax:605-698-4367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
No251J00000XAgenciesNursing Care
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care