Basic Information
| Provider Information | |||||||||
| NPI: | 1205509106 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TENDER CARE HOSPICE PA LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8601 STENTON AVE | ||||||||
| Address2: | |||||||||
| City: | WYNDMOOR | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190388312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186380360 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8601 STENTON AVE | ||||||||
| Address2: | |||||||||
| City: | WYNDMOOR | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190388312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186380360 | ||||||||
| FaxNumber: | 2679371119 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2021 | ||||||||
| LastUpdateDate: | 07/27/2021 | ||||||||
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| AuthorizedOfficialLastName: | FEUER | ||||||||
| AuthorizedOfficialFirstName: | SAM | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 7186380360 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 07/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | Y | Agencies | Hospice Care, Community Based |
No ID Information.