Active NPI
Tender Jewels Home Healthcare
- Home Health Agency
- Des Peres, MO
National Provider Identifier
1013631845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TENDER JEWELS HOME HEALTHCARE
- Practice address
- 12015 Manchester Rd Ste 133
Des Peres, MO 63131-4417 - Phone
- (314) 868-1659
- NPI assigned
- Sep 26, 2022
- 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
- Tynia Ivy
- Title
- Owner
- Phone
- (314) 868-1659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
12015 Manchester Rd Ste 133
Des Peres, MO 63131-4417
Mailing address
12015 Manchester Rd Ste 133
Des Peres, MO 63131-4417
Phone (314) 868-1659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Medicaid | MO |
Other names 1
- Tender Jewels Home Healthcare LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Tenderjewels73@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
12015 Manchester Rd
Ste 133
Des Peres, MO 63131
Phone (314) 858-1659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668384000000",
"number": "1013631845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12015 MANCHESTER RD STE 133",
"city": "DES PERES",
"state": "MO",
"postal_code": "631314417",
"telephone_number": "314-868-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12015 MANCHESTER RD STE 133",
"city": "DES PERES",
"state": "MO",
"postal_code": "631314417",
"telephone_number": "314-868-1659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER JEWELS HOME HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-26",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A",
"authorized_official_last_name": "IVY",
"authorized_official_first_name": "TYNIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-868-1659"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Tenderjewels73@gmail.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Home Health",
"address_1": "12015 Manchester Rd Ste 133",
"city": "Des Peres",
"state": "MO",
"country_code": "US",
"postal_code": "631314417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Tender Jewels Home Healthcare LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Tender Jewels Home Healthcare LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Des Peres, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.