Tendercare Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

40-007519-1 Issued in IN

Legal business name

TENDERCARE HOME HEALTH SERVICES, INC.

Practice address

6308 Rucker Rd Ste D
Indianapolis, IN 46220-4837

Phone

(317) 251-0700

Fax

(317) 251-7440

NPI assigned

Jan 16, 2007

Organization subpart

No

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) 251-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Home health agency certification: CCN 157401

Legal name

TENDERCARE HOME HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 15, 1994

Last certification

Sep 16, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 23, 1994 in IN

Enrollment address

6308 Rucker Rd
Ste D
Indianapolis, IN 46220-4881

Listed as

Tendercare Home Health Services IncCCN 157401

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Aug 15, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

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.

• Tendercare Home Health Services, Inc.

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1770758393
  NPD tax ID
• Tendercare Home Health Services, Inc.

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1821093162
  NPD tax ID
• Tendercare Home HLTH SVC - DME

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1982753588
  NPD tax ID

Locations

All disclosed owners & managing parties 6

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 1

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

• Eric L. Deitchman, PH.D.

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1235155177

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

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

• Eric L. Deitchman, PH.D.

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1235155177
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1811048945",
    "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"
        },
        {
            "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": "462204837",
            "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": "2007-01-16",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "317-251-0700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "40-007519-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tender Loving Care Health Care Services Midwest, LLC
• Tender Loving Care LLC
• Tender Loving Personal Care LLC
• Tender Nurturing Touch Home Care, LLC
• Tendercare Home Health Services, Inc.
• Tendercare Home Health Services, Inc.
• Tendercare Home HLTH SVC - DME
• Tending the Roots
• Chiamei Teng
• Andrea Tennancour, NP

• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.