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NPI Code Detail

MEDICARE: TENDRA HOME HEALTH INC

MEDICARE: TENDRA HOME HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency299992058FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336128099
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDRA HOME HEALTH INC
Provider Business Mailing Address
First Line : 6161 BLUE LAGOON DR STE 150
Second Line :
City : MIAMI
State : FL
Zip : 33126-2024
Country : US
Telephone Number : 305-696-2323
Fax Number : 305-696-2304
Provider Business Practice Location Address
First Line : 6161 BLUE LAGOON DR STE 150
Second Line :
City : MIAMI
State : FL
Zip : 33126-2024
Country : US
Telephone Number : 954-538-8588
Fax Number : 954-538-1414
Authorized Official
Title or Position : DIRECTOR OF COMPLIANCE
Name : KELLY KASKAVAGE
Credential :
Telephone Number : 214-575-2999
Provider Enumeration Date : 01/11/2006
Last Update Date : 06/12/2024

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Directions to “TENDRA HOME HEALTH INC ” Practice Location

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