MEDICARE: TENDER HOME CARE IN 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1801755921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER HOME CARE IN LLC

Provider Business Mailing Address
First Line	:	22 E WASHINGTON ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3561
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 E WASHINGTON ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3561
Country	:	US
Telephone Number	:	646-281-7199
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JUDAH ROSENBLATT
Credential	:
Telephone Number	:	646-281-7199

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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