Tender Hearts PRP, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TENDER HEARTS PRP, LLC

Doing business as

Tender Hearts PRP

Practice address

3450 Laurel Fort Meade Rd Ste 109a
Laurel, MD 20724-2040

Phone

(301) 646-6837

NPI assigned

Dec 27, 2021

Organization subpart

Yes

Parent organization

OPEN HEARTS, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Samantha Hailey-Granderson, JD

Title

Assistant Director

Phone

(301) 646-6837

Specialties & licenses 1

Addresses

Other names 1

• Tender Hearts PRP Doing business as

Locations

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1053071472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 SUDLERSVILLE S",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242446",
            "telephone_number": "410-868-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LAUREL FORT MEADE RD STE 109A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-646-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HEARTS PRP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPEN HEARTS, LLC",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "HAILEY-GRANDERSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "301-646-6837",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Hearts PRP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Laurel, MD
• Providers in Laurel, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.