NPIMap

Organization Active NPI

Tendercare Home Health Services, Inc.

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1770758393
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
070075191 Issued in IN
Legal business name
TENDERCARE HOME HEALTH SERVICES, INC.
Practice address
6308 Rucker Rd Ste D
Indianapolis, IN 46220-4881
Phone
(317) 251-0700
Fax
(317) 251-7440
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Kellie Campbell
Title
Operations Manager
Phone
(317) 983-1066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 070075191 IN Primary

Addresses

Primary practice location

6308 Rucker Rd Ste D
Indianapolis, IN 46220-4881

Mailing address

6308 Rucker Rd Ste D
Indianapolis, IN 46220-4881
Phone (317) 251-0700

Other practice location 1

1025 W Eads Pkwy
Lawrenceburg, IN 47025-1162
Phone (812) 577-9529

Other identifiers 2

IdentifierTypeStateIssuer
200043620AOtherINMEDICAID WAIVER
300095426OtherINMEDICAID WAIVER

National Provider Directory

National Provider Directory
Tax ID family
Tendercare Home Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1770758393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 RUCKER RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204881",
            "telephone_number": "317-251-0700",
            "fax_number": "317-251-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 RUCKER RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204881",
            "telephone_number": "317-251-0700",
            "fax_number": "317-251-7440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 W Eads Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470251162",
            "country_code": "US",
            "telephone_number": "812-577-9529",
            "fax_number": "812-577-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TENDERCARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "317-983-1066"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "070075191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "200043620A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "300095426",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.