Healthcare Provider Details

I. General information

NPI: 1225273683
Provider Name (Legal Business Name): TENDER HEART PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2008
Last Update Date: 12/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 AVENUE F
WESTWEGO LA
70094-4422
US

IV. Provider business mailing address

949 AVENUE F
WESTWEGO LA
70094-4422
US

V. Phone/Fax

Practice location:
  • Phone: 504-347-7650
  • Fax: 504-341-8928
Mailing address:
  • Phone: 504-347-7650
  • Fax: 504-341-8928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number7940
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number7943
License Number StateLA

VIII. Authorized Official

Name: BETTY J ANDREWS
Title or Position: DIRECTOR/ OWNER
Credential:
Phone: 504-347-7650