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NPI Code Detail

MEDICARE: TENDERCARE HOME HEALTH SERVICES, INC.

MEDICARE: TENDERCARE HOME HEALTH SERVICES, 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
1251E00000XHome Health Agency40-007519-1IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811048945
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDERCARE HOME HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 6308 RUCKER RD STE D
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-4881
Country : US
Telephone Number : 317-251-0700
Fax Number :
Provider Business Practice Location Address
First Line : 6308 RUCKER RD STE D
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-4837
Country : US
Telephone Number : 317-251-0700
Fax Number : 317-251-7440
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : KELLIE CAMPBELL
Credential :
Telephone Number : 317-251-0700
Provider Enumeration Date : 01/16/2007
Last Update Date : 10/23/2024

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Directions to “TENDERCARE HOME HEALTH SERVICES, INC. ” Practice Location

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