Healthcare Provider Details

I. General information

NPI: 1811822943
Provider Name (Legal Business Name): TENDER HEART HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1584 HEBRON LN
RIVERDALE GA
30296-2047
US

IV. Provider business mailing address

1584 HEBRON LN
RIVERDALE GA
30296-2047
US

V. Phone/Fax

Practice location:
  • Phone: 470-331-5143
  • Fax:
Mailing address:
  • Phone: 470-331-5143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. BUKOLA SARAH PERSON
Title or Position: DIRECTOR
Credential:
Phone: 678-532-6234