MEDICARE: TENDER CARE PROFESSIONAL SERVICES

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	0731-L001	NY

General Provider Information

NPI Number	:	1861598252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER CARE PROFESSIONAL SERVICES

Provider Business Mailing Address
First Line	:	5802 16TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2111
Country	:	US
Telephone Number	:	718-871-7272
Fax Number	:	718-871-5379

Provider Business Practice Location Address
First Line	:	5802 16TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2111
Country	:	US
Telephone Number	:	718-871-7272
Fax Number	:	718-871-5379

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JONATHAN MAYER
Credential	:
Telephone Number	:	718-871-7272

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	08/22/2020

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