Organization Active NPI

Tender Home Health Care Inc

  • Home Health Agency
  • Baytown, TX
National Provider Identifier
1043416761
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
004728 Issued in TX
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 459088 · All quality measures
Ownership
Proprietary
Certified
Jan 15, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0917880Tender Home Health Care Inc407 W Baker Rd, Suite S, Baytown, TX 77521Certificate of waiverJul 28, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lynda Johnson Individual W-2 Managing EmployeeRN Dec 9, 2020
Betty Rodgers Individual W-2 Managing Employee Nov 3, 2003
Kathy Clark Individual 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

Verify at the official NPI Registry.