Active NPI
Tender Hearts LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
National Provider Identifier
1225570625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- MH-2173
- Legal business name
- TENDER HEARTS LLC
- Practice address
- 1515 N Fulton Ave
Baltimore, MD 21217-1609 - Phone
- (410) 517-4279
- NPI assigned
- Nov 16, 2016
- Last updated
- Nov 16, 2016
- 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
- Tyra Shanice Roberts
- Title
- Program Director
- Phone
- (410) 517-4279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | MH-2173 | MD | Primary |
Addresses
Primary practice location
1515 N Fulton Ave
Baltimore, MD 21217-1609
Mailing address
3205 Lord Baltimore Dr
Windsor Mill, MD 21244-2864
Phone (410) 517-4279
National Provider Directory
National Provider Directory- Tax ID family
- Tender Hearts LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1124680103
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owings Mills, MD
- NPI 1336739473
-
- Addiction (Substance Use Disorder) Counselor
- Owings Mills, MD
- NPI 1346923240
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owings Mills, MD
- NPI 1538829213
Locations
1515 N Fulton Ave
Baltimore, MD 21217
Phone (410) 517-4279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479254400000",
"number": "1225570625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 LORD BALTIMORE DR",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212442864",
"telephone_number": "410-517-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N FULTON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212171609",
"telephone_number": "410-517-4279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER HEARTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-16",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "TYRA",
"authorized_official_middle_name": "SHANICE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "410-517-4279"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MD",
"license": "MH-2173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.