NPIMap

Organization Active NPI

Tendra Home Health, Inc.

  • Home Health Agency
  • Pembroke Pines, FL
National Provider Identifier
1679773105
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992794 Issued in FL
Legal business name
TENDRA HOME HEALTH, INC.
Practice address
8569 Pines Blvd Ste 209
Pembroke Pines, FL 33024-6620
Phone
(954) 538-8588
Fax
(954) 538-1414
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Kelly Kaskavage
Title
Director of Compliance
Phone
(866) 919-3240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992794 FL Primary

Addresses

Primary practice location

8569 Pines Blvd Ste 209
Pembroke Pines, FL 33024-6620

Mailing address

8569 Pines Blvd Ste 209
Pembroke Pines, FL 33024-6620
Phone (305) 696-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080128000286 FL Part A Provider - Home Health Agency 8224083324 Practice locations: Pembroke Pines, FL

Home health agency certification: CCN 109507

Legal name
TENDRA HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 13, 2010
Last certification
Dec 18, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 17, 2004 in FL
Enrollment address
8569 Pines Blvd
Ste 209
Pembroke Pines, FL 33024-6620

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tendra Home Health, Inc.CCN 109507 · All quality measures
Ownership
Proprietary
Certified
Jan 13, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Tendra Home Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8527 Pines Blvd
Ste 206
Pembroke Pines, FL 33024

8527 Pines Blvd
Ste 209
Pembroke Pines, FL 33024

8569 Pines Blvd
Ste 209
Pembroke Pines, FL 33024
Phone (305) 696-2323

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Michal Roget Individual W-2 Managing EmployeeCoo Apr 27, 2022 100%
TMS-CJ Holdings, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 27, 2022 100%
Cortney Baker Individual 5% Or Greater Indirect Ownership InterestCeo Apr 27, 2022 100%
Corporate OfficerCeo Apr 27, 2022 100%
Corporate Director Apr 27, 2022 100%

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1679773105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8569 PINES BLVD STE 209",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246620",
            "telephone_number": "305-696-2323",
            "fax_number": "305-696-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8569 PINES BLVD STE 209",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246620",
            "telephone_number": "954-538-8588",
            "fax_number": "954-538-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDRA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "KASKAVAGE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "866-919-3240"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.