Provider Demographics
NPI:1366262271
Name:TENDER CARE LLC
Entity type:Organization
Organization Name:TENDER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS-GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:PCA
Authorized Official - Phone:662-792-1038
Mailing Address - Street 1:135 PARK ST
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:MS
Mailing Address - Zip Code:39063
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:135 PARK ST
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:MS
Practice Address - Zip Code:39063-3821
Practice Address - Country:US
Practice Address - Phone:662-792-1038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty