Healthcare Provider Details

I. General information

NPI: 1144363656
Provider Name (Legal Business Name): TENDER CARE NURSING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 03/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 FRONT ST
BRAINERD MN
56401-3628
US

IV. Provider business mailing address

700 FRONT ST
BRAINERD MN
56401-3628
US

V. Phone/Fax

Practice location:
  • Phone: 218-820-0241
  • Fax: 218-825-8536
Mailing address:
  • Phone: 218-820-0241
  • Fax: 218-825-8536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateMN

VIII. Authorized Official

Name: MS. KELLY JOAN COOPER-SWENSON
Title or Position: OWNER
Credential:
Phone: 218-820-0241