MEDICARE: KC'S TENDER TOUCH 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1811826670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KC'S TENDER TOUCH HOME CARE LLC

Provider Business Mailing Address
First Line	:	13831 BOULDER CANYON DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-5359
Country	:	US
Telephone Number	:	317-372-8822
Fax Number	:

Provider Business Practice Location Address
First Line	:	13831 BOULDER CANYON DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-5359
Country	:	US
Telephone Number	:	317-372-8822
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KYESHA COATS
Credential	:
Telephone Number	:	317-372-8822

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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