Organization Active NPI

Tender Hearts LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1225570625
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MH-2173 Issued in MD
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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)CodeLicenseStatePrimary
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 LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.