Organization Active NPI

Tendercare Home Health Services, Inc.

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1821093162
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
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 46220-4881
Phone
(317) 251-0700
Fax
(317) 251-7440
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 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) 251-0700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 40-007519-1 IN Primary
Home Health Agency 251E00000X

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 1

IdentifierTypeStateIssuer
100389750AMedicaidIN

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": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1821093162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 RUCKER RD",
            "address_2": "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",
            "address_2": "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": "2005-06-14",
        "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
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389750A",
            "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 23, 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.