Provider Demographics
NPI:1063050375
Name:TENDERKARE HOMECARE AGENCY LLC.
Entity type:Organization
Organization Name:TENDERKARE HOMECARE AGENCY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-978-8275
Mailing Address - Street 1:84 ASHFORD ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06120-1103
Mailing Address - Country:US
Mailing Address - Phone:860-978-8275
Mailing Address - Fax:860-461-0822
Practice Address - Street 1:719 COTTAGE GROVE RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3040
Practice Address - Country:US
Practice Address - Phone:860-216-5758
Practice Address - Fax:860-461-0822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health