Tender Heart Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TENDER HEART HOME CARE

Practice address

2733 N Power Rd
#102-453
Mesa, AZ 85215-1682

Phone

(480) 719-4444

Fax

(480) 719-4445

NPI assigned

Sep 25, 2012

Organization subpart

No

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

Authorized official

Name

Ray Johnson

Title

Director

Phone

(480) 719-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1295086601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 N POWER RD",
            "address_2": "#102-453",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151682",
            "telephone_number": "480-719-4444",
            "fax_number": "480-719-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 N POWER RD",
            "address_2": "#102-453",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151682",
            "telephone_number": "480-719-4444",
            "fax_number": "480-719-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HEART HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-719-4444"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689046",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.