Organization Active NPI

Tender Care Health Services LLC

  • Assisted Living Facility
  • Cottage Grove, MN
National Provider Identifier
1548991243
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TENDER CARE HEALTH SERVICES LLC
Practice address
9698 Hames Ave S
Cottage Grove, MN 55016-3871
Phone
(651) 398-2079
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Gambo Ato
Title
President
Phone
(651) 398-2079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9698 Hames Ave S
Cottage Grove, MN 55016-3871

Mailing address

9698 Hames Ave S
Cottage Grove, MN 55016-3871
Phone (651) 398-2079

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1548991243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9698 HAMES AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163871",
            "telephone_number": "651-398-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9698 HAMES AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163871",
            "telephone_number": "651-398-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER CARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "ATO",
        "authorized_official_first_name": "GAMBO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-398-2079"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.