Healthcare Provider Details

I. General information

NPI: 1295465243
Provider Name (Legal Business Name): TENDER SOULS SERVICES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8112 22ND ST
GREELEY CO
80634-9739
US

IV. Provider business mailing address

8112 22ND ST
GREELEY CO
80634-9739
US

V. Phone/Fax

Practice location:
  • Phone: 970-236-1940
  • Fax:
Mailing address:
  • Phone: 970-236-1940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: SARAH JUNE CULLER
Title or Position: DIRECTOR
Credential:
Phone: 970-236-1940