Healthcare Provider Details

I. General information

NPI: 1326083791
Provider Name (Legal Business Name): TENDER HEARTS HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 WIGGINGTON RD STE E
LYNCHBURG VA
24502-4634
US

IV. Provider business mailing address

808 WIGGINGTON RD STE E
LYNCHBURG VA
24502-4634
US

V. Phone/Fax

Practice location:
  • Phone: 434-385-4001
  • Fax: 434-385-1003
Mailing address:
  • Phone: 434-385-4001
  • Fax: 434-385-1003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0206009292
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0206009292
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0206009292
License Number StateVA

VIII. Authorized Official

Name: MR. KIRK PETRIE
Title or Position: CEO
Credential: RRT
Phone: 434-385-4001