Active NPI
Tender Hands Private Homecare Inc
- Home Health Agency
- Lawrenceville, GA
National Provider Identifier
1003368036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TENDER HANDS PRIVATE HOMECARE INC
- Practice address
- 461 W Crogan St
Lawrenceville, GA 30046-4735 - Phone
- (470) 299-2090
- Fax
- (678) 786-2037
- NPI assigned
- Oct 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carren Woolery, RN
- Title
- Administrator
- Phone
- (678) 308-9914
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | GA | Primary | |
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | GA | ||
| Adult Companion | 372600000X | GA | ||
| Attendant Care Provider | 3747A0650X | GA | ||
| Personal Care Attendant | 3747P1801X | GA | ||
| Home Health Aide | 374U00000X | GA | ||
| Homemaker | 376J00000X | GA | ||
| Nurse's Aide | 376K00000X | GA |
Addresses
Primary practice location
461 W Crogan St
Lawrenceville, GA 30046-4735
Mailing address
310 Brittney CV
Loganville, GA 30052-6937
Phone (678) 308-9914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003187549A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Tender Hands Private Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Lawrenceville, GA
- NPI 1982089306
Locations
4396 Lawrenceville Rd
Ste 115
Loganville, GA 30052
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Lawrenceville, GA
- NPI 1588045074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652659200000",
"number": "1003368036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 BRITTNEY CV",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300526937",
"telephone_number": "678-308-9914",
"fax_number": "678-786-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 W CROGAN ST",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464735",
"telephone_number": "470-299-2090",
"fax_number": "678-786-2037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER HANDS PRIVATE HOMECARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-25",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A",
"authorized_official_last_name": "WOOLERY",
"authorized_official_first_name": "CARREN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "678-308-9914",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003187549A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.