MEDICARE: TENDER CARE COMPANION AND HOMEMAKER 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	253Z00000X	In Home Supportive Care Agency	229452	FL

General Provider Information

NPI Number	:	1942508502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER CARE COMPANION AND HOMEMAKER SERVICES

Provider Business Mailing Address
First Line	:	6878 W ATLANTIC BLVD
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6878 W ATLANTIC BLVD
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5045
Country	:	US
Telephone Number	:	954-917-1125
Fax Number	:	954-917-1126

Authorized Official
Title or Position	:	PRESIDEN
Name	:	SANDRA HENRY
Credential	:
Telephone Number	:	954-917-1125

Provider Enumeration Date	:	03/07/2011
Last Update Date	:	03/07/2011

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