Provider Demographics
NPI:1841658879
Name:TENDER YEARS
Entity type:Organization
Organization Name:TENDER YEARS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, TENDER YEARS, CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:LOEHR
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:805-857-2561
Mailing Address - Street 1:2335 BROOKHILL DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2110
Mailing Address - Country:US
Mailing Address - Phone:805-857-2561
Mailing Address - Fax:
Practice Address - Street 1:2335 BROOKHILL DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2110
Practice Address - Country:US
Practice Address - Phone:805-857-2561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA218390251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health