NPI Code Details Logo

NPI 1326576281

NPI 1326576281 : TENDER GRACE HOME CARE LLC : ALLENTOWN, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1326576281
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TENDER GRACE HOME CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/23/2017
-----------------------------------------------------
    Last Update Date     |    07/21/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1225 UNION BLVD 
-----------------------------------------------------
    City                 |    ALLENTOWN
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    18109-1502
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    610-351-6007
-----------------------------------------------------
    Fax                  |    610-351-9119
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1225 UNION BLVD 
-----------------------------------------------------
    City                 |    ALLENTOWN
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    18109-1502
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    610-351-6007
-----------------------------------------------------
    Fax                  |    610-351-9119
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MS. SANTIA  PONS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    610-351-6007
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    32043601
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.