MEDICARE: TENDER HEALTHCARE AGENCY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	163W00000X	Registered Nurse

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	019534	OTHER	TX	PERSONAL ASSISTANCE SERVICES
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619528098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER HEALTHCARE AGENCY LLC

Provider Business Mailing Address
First Line	:	8618 ELM LAKE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-5389
Country	:	US
Telephone Number	:	281-685-2661
Fax Number	:	281-277-6638

Provider Business Practice Location Address
First Line	:	8618 ELM LAKE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-5389
Country	:	US
Telephone Number	:	281-685-2661
Fax Number	:	281-277-6638

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	CHRISTIE O ADESEYE
Credential	:	RN
Telephone Number	:	281-685-2661

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	09/26/2019

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