Tender Heart Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

009440 Issued in TX

Legal business name

TENDER HEART HOSPICE CARE LLC

Doing business as

TENDER HEART HOSPICE CARE,LLC

Practice address

3210 W Park Row Dr
Arlington, TX 76013-3153

Phone

(817) 265-0066

Fax

(817) 265-0089

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kofo Kay Seriki, MPA

Title

Administrator

Phone

(817) 265-0066

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TENDER HEART HOSPICE CARE,LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 451797

Legal name

TENDER HEART HOSPICE CARE LLC

Doing business as

TENDER HEART HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 10, 2005

Last certification

Mar 18, 2022

Ownership / control type

Other

Organization structure

LLCProprietary

Enrollment address

3210 W Park Row Dr
Pantego, TX 76013-3136

Listed as

Tender Heart Hospice CareCCN 451797 · All quality measures

Ownership

For-Profit

Certified

Jun 10, 2005

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Syed M Jamal, MD

  • Internal Medicine Physician
  • Jacksboro, TX
  • NPI 1437157419

  Corporate Director

  CMS ownership
• Hujefa Yusuf Vora, M.D.

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1033190798

  Contracted Managing Employee, Corporate Director, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Hujefa Yusuf Vora, M.D.

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1033190798

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1295793966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 W PARK ROW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133153",
            "telephone_number": "817-265-0066",
            "fax_number": "817-265-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 W PARK ROW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133153",
            "telephone_number": "817-265-0066",
            "fax_number": "817-265-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HEART HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "SERIKI",
        "authorized_official_first_name": "KOFO",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-265-0066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "009440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013868",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TENDER HEART HOSPICE CARE,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Marcos Tello
• Taylor L Templin
• Joshua Tenborg, PA-C
• Tender Care Home for Adults
• Tender Care Home for Aduts
• Mark P Teng, MD
• Vancarlus Sontelle Tennison, RMT
• Nicole Sara Tenzel, M.D.
• David Teplitsky
• Lisa Terrell

• Community Based Hospice Care Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.