Provider Demographics
NPI:1124726062
Name:TENDER HEART SUPPORTIVE SERVICES
Entity type:Organization
Organization Name:TENDER HEART SUPPORTIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:O
Authorized Official - Last Name:KEHINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-517-9271
Mailing Address - Street 1:12 VILLAGE GATE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4402
Mailing Address - Country:US
Mailing Address - Phone:973-517-9271
Mailing Address - Fax:908-935-0916
Practice Address - Street 1:74 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-2158
Practice Address - Country:US
Practice Address - Phone:973-517-9271
Practice Address - Fax:908-935-0916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health