Active NPI
Tender Home Health Care Inc
- Home Health Agency
- Baytown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 004728
- Legal business name
- TENDER HOME HEALTH CARE INC
- Practice address
- 5523 West Rd
Baytown, TX 77521-9078 - Phone
- (281) 428-2807
- Fax
- (281) 421-1009
- NPI assigned
- Jun 21, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Kathy Jean Clark, LVN
- Title
- Administrator Owner
- Phone
- (281) 428-2807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 004728 | TX | Primary |
Addresses
Primary practice location
5523 West Rd
Baytown, TX 77521-9078
Mailing address
5523 West Rd
Baytown, TX 77521-9078
Phone (281) 428-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091114000058 | TX | Part A Provider - Home Health Agency | 7810035631 | Practice locations: Baytown, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1043416761. Details of each certification follow.
Home health agency certification: CCN 459088
- Legal name
- TENDER HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 15, 1997
- Last certification
- Sep 2, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 26, 1996 in TX
- Enrollment address
- 407 W Baker Rd
Ste S
Baytown, TX 77521-2381
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Tender Home Health Care Inc
- Ownership
- Proprietary
- Certified
- Jan 15, 1997
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0917880 | Tender Home Health Care Inc | Certificate of waiver | Jul 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
407 W Baker Rd
Ste S
Baytown, TX 77521
5523 West Rd
Baytown, TX 77521
Phone (281) 428-2807
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lynda Johnson | W-2 Managing Employee | Dec 9, 2020 | |
| Betty Rodgers | W-2 Managing Employee | Nov 3, 2003 | |
| Kathy Clark | 5% Or Greater Direct Ownership Interest | Nov 30, 2007 | 100% |
| Corporate Director | Nov 30, 2007 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043416761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5523 WEST RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775219078",
"telephone_number": "281-428-2807",
"fax_number": "281-421-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5523 WEST RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775219078",
"telephone_number": "281-428-2807",
"fax_number": "281-421-1009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "ADMINISTRATOR OWNER",
"authorized_official_telephone_number": "281-428-2807",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "004728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.