=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467270942
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TENDER AVENUE HOME CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2024
-----------------------------------------------------
Last Update Date | 12/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7305 HARROGATE CT
-----------------------------------------------------
City | LORTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22079
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-927-0782
-----------------------------------------------------
Fax | 571-458-7268
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7305 HARROGATE CT
-----------------------------------------------------
City | LORTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22079
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-927-0782
-----------------------------------------------------
Fax | 571-458-7268
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MAHA A ALZABAIDI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 703-927-0782
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------