MEDICARE: TENDER CARE HOME CARE LLC

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

General Provider Information

NPI Number	:	1356182737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER CARE HOME CARE LLC

Provider Business Mailing Address
First Line	:	1135 W WESTERN RESERVE RD
Second Line	:	STE D PMB 155
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44514
Country	:	US
Telephone Number	:	330-261-5741
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 GRIFFITH ST UNIT 106
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44510-2605
Country	:	US
Telephone Number	:	234-716-3922
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DANASHA COLLIER
Credential	:
Telephone Number	:	330-261-5741

Provider Enumeration Date	:	06/01/2024
Last Update Date	:	06/01/2024

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