MEDICARE: TENDER CARE HOME HEALTH, INC.

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
1	251E00000X	Home Health Agency		NV

General Provider Information

NPI Number	:	1164933107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER CARE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	2471 W HORIZON RIDGE PKWY STE 110
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5953
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2471 W HORIZON RIDGE PKWY STE 110
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5953
Country	:	US
Telephone Number	:	702-564-3688
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CATHERINE D BROWN
Credential	:
Telephone Number	:	714-213-6676

Provider Enumeration Date	:	10/17/2017
Last Update Date	:	10/17/2017

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