Organization Active NPI

Tendercare LLC

  • Home Health Agency
  • Gillette, WY
National Provider Identifier
1033824909
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TENDERCARE LLC
Practice address
400 S Gillette Ave Ste 109
Gillette, WY 82716-4252
Phone
(307) 670-2002
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Cantu, REGISTERED NURSE
Title
Co-Owner
Phone
(307) 670-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

400 S Gillette Ave Ste 109
Gillette, WY 82716-4252

Mailing address

400 S Gillette Ave Ste 109
Gillette, WY 82716-4252
Phone (307) 670-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240829004382 WY Part A Provider - Home Health Agency 1951840206 Practice locations: Gillette, WY

Home health agency certification: CCN 537840

Legal name
TENDERCARE LLC
Doing business as
TENDERCARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 22, 2025
Last certification
Oct 22, 2025
Organization structure
LLCProprietary
Incorporated
Jul 19, 2009 in WY
Enrollment address
400 S Gillette Ave
Ste 109
Gillette, WY 82716-4252

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tendercare Home HealthCCN 537840
Ownership
-
Certified
Oct 22, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

400 S Gillette Ave
Ste 109
Gillette, WY 82716
Phone (307) 670-2002

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronda Boller Individual 5% Or Greater Direct Ownership Interest Jul 19, 2009 50%
Melissa Cantu Individual 5% Or Greater Direct Ownership InterestAdministrator Oct 30, 2023 50%
W-2 Managing EmployeeAdministrator Oct 30, 2023 100%
Operational/Managerial ControlAdministrator Oct 30, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1033824909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S GILLETTE AVE STE 109",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164252",
            "telephone_number": "307-670-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S GILLETTE AVE STE 109",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164252",
            "telephone_number": "307-670-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "307-670-2002",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.