Provider Demographics
NPI:1386526069
Name:TENDER SMILE HEALTHCARE SERVICE LLC
Entity type:Organization
Organization Name:TENDER SMILE HEALTHCARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:EDEM
Authorized Official - Last Name:BASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-559-2447
Mailing Address - Street 1:1102 HARTLAND ROAD APT 1
Mailing Address - Street 2:1102 HARTLAND ROAD APT 1
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221
Mailing Address - Country:US
Mailing Address - Phone:443-559-2447
Mailing Address - Fax:
Practice Address - Street 1:1102 HARTLAND ROAD APT 1
Practice Address - Street 2:1102 HARTLAND ROAD APT 1
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221
Practice Address - Country:US
Practice Address - Phone:443-559-2447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health