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NPI Code Detail

MEDICARE: TENDER HANDS HOME CARE LLC DBA GRISWOLD HOME CARE

MEDICARE: TENDER HANDS HOME CARE LLC DBA GRISWOLD HOME CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HP0149300OTHERNJHEALTH CARE SERVICE FIRM LICENSE

General Provider Information

NPI Number : 1134867799
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDER HANDS HOME CARE LLC DBA GRISWOLD HOME CARE
Provider Business Mailing Address
First Line : 58 ALLEN ST
Second Line :
City : IRVINGTON
State : NJ
Zip : 07111-2118
Country : US
Telephone Number : 973-652-9799
Fax Number :
Provider Business Practice Location Address
First Line : 111 S ORANGE AVE STE 21
Second Line :
City : SOUTH ORANGE
State : NJ
Zip : 07079-1931
Country : US
Telephone Number : 973-378-3000
Fax Number : 973-378-3078
Authorized Official
Title or Position : DIRECTOR/OWNER
Name : MRS. CECILIA F GREENE
Credential :
Telephone Number : 973-652-9799
Provider Enumeration Date : 05/24/2022
Last Update Date : 05/24/2022

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Directions to “TENDER HANDS HOME CARE LLC DBA GRISWOLD HOME CARE ” Practice Location

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