Provider Demographics
NPI:1275696254
Name:TENDER CARE INC
Entity type:Organization
Organization Name:TENDER CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:W
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:336-765-2273
Mailing Address - Street 1:3560 VEST MILL RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-2989
Mailing Address - Country:US
Mailing Address - Phone:336-765-2273
Mailing Address - Fax:336-768-8295
Practice Address - Street 1:3560 VEST MILL RD
Practice Address - Street 2:SUITE 7
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2989
Practice Address - Country:US
Practice Address - Phone:336-765-2273
Practice Address - Fax:336-768-8295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC12543747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600312Medicaid