Healthcare Provider Details
I. General information
NPI: 1699630343
Provider Name (Legal Business Name): TENDERHEART HEALTH OUTCOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3600 ARCO CORPORATE DR STE 140
CHARLOTTE NC
28273-8100
US
IV. Provider business mailing address
1701 DIRECTORS BLVD STE 520
AUSTIN TX
78744-1105
US
V. Phone/Fax
- Phone: 877-394-1860
- Fax: 866-897-5881
- Phone: 877-394-1860
- Fax: 866-897-5881
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
ROY
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 737-931-0559