Provider Demographics
NPI:1982089306
Name:TENDER HANDS PRIVATE HOME CARE
Entity Type:Organization
Organization Name:TENDER HANDS PRIVATE HOME CARE
Other - Org Name:TENDER HANDS PRIVATE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOLERY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-308-9914
Mailing Address - Street 1:461 W CROGAN ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-4735
Mailing Address - Country:US
Mailing Address - Phone:470-299-2090
Mailing Address - Fax:678-786-2037
Practice Address - Street 1:461 W CROGAN ST
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4735
Practice Address - Country:US
Practice Address - Phone:470-299-2090
Practice Address - Fax:678-786-2037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067R1293251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health