Provider Demographics
NPI:1861932121
Name:TENDER HEARTS HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:TENDER HEARTS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-686-2225
Mailing Address - Street 1:32708 BRAVO PT
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-9454
Mailing Address - Country:US
Mailing Address - Phone:970-686-2225
Mailing Address - Fax:970-686-7115
Practice Address - Street 1:32708 BRAVO PT
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-9454
Practice Address - Country:US
Practice Address - Phone:970-686-2225
Practice Address - Fax:970-686-7115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04W355253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07859252Medicaid