Provider Demographics
NPI:1063084069
Name:TENDER HEARTS RESIDENTIAL SERVICES LLC
Entity type:Organization
Organization Name:TENDER HEARTS RESIDENTIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:GULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-386-2537
Mailing Address - Street 1:62 GRANDMERE DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-3242
Mailing Address - Country:US
Mailing Address - Phone:216-386-2537
Mailing Address - Fax:
Practice Address - Street 1:62 GRANDMERE DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-3242
Practice Address - Country:US
Practice Address - Phone:216-510-0083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-11
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health