Healthcare Provider Details
I. General information
NPI: 1053104976
Provider Name (Legal Business Name): TENDERHEART SENIOR LIVING INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2025
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
246 STILLWATER RD
KALISPELL MT
59901-2571
US
IV. Provider business mailing address
55 SUZY LN
KALISPELL MT
59901-7376
US
V. Phone/Fax
- Phone: 406-751-6830
- Fax: 406-752-2351
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311Z00000X |
| Taxonomy | Custodial Care Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BARRY
MELCHIOR
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 406-871-8667