Healthcare Provider Details

I. General information

NPI: 1821975756
Provider Name (Legal Business Name): TENSAW RIVER HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W LAUREL AVE STE 210
FOLEY AL
36535-1919
US

IV. Provider business mailing address

200 W LAUREL AVE STE 210
FOLEY AL
36535-1919
US

V. Phone/Fax

Practice location:
  • Phone: 800-763-6382
  • Fax: 866-460-8537
Mailing address:
  • Phone: 800-763-6382
  • Fax: 866-460-8537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMBER TUELLER
Title or Position: SECRETARY
Credential:
Phone: 208-207-2726