Organization Active NPI

Tender Homecare

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1063156883
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TENDER HOMECARE
Practice address
3330 E Van Buren St Apt 133
Phoenix, AZ 85008-6856
Phone
(602) 838-0783
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Noor Abdirazak
Title
Ceo
Phone
(602) 838-0783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3330 E Van Buren St Apt 133
Phoenix, AZ 85008-6856

Mailing address

4409 W Gary Way
Laveen, AZ 85339-4541
Phone (602) 706-2768

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1063156883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 W GARY WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394541",
            "telephone_number": "602-706-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 E VAN BUREN ST APT 133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086856",
            "telephone_number": "602-838-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "ABDIRAZAK",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-838-0783"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.