Organization Active NPI

Tender Hearts Senior Care, LLC

  • In Home Supportive Care Agency
  • Sheboygan, WI
National Provider Identifier
1649627084
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TENDER HEARTS SENIOR CARE, LLC
Practice address
2125 S Memorial PL
Ste 3
Sheboygan, WI 53081-3772
Phone
(920) 459-0791
Fax
(920) 459-0792
NPI assigned
May 16, 2016
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Dawn Wittig, RNNPI 1518353762
Title
Founder
Phone
(920) 459-0791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2125 S Memorial PL
Ste 3
Sheboygan, WI 53081-3772

Mailing address

2125 S Memorial PL
Ste 3
Sheboygan, WI 53081-3772
Phone (920) 459-0791

National Provider Directory

National Provider Directory

Locations

2125 S Memorial Pl
Ste 3
Sheboygan, WI 53081
Phone (920) 459-0791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1649627084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 S MEMORIAL PL",
            "address_2": "STE 3",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813772",
            "telephone_number": "920-459-0791",
            "fax_number": "920-459-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S MEMORIAL PL",
            "address_2": "STE 3",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813772",
            "telephone_number": "920-459-0791",
            "fax_number": "920-459-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HEARTS SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "WITTIG",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "920-459-0791",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

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