Tendril Healthcare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TENDRIL HEALTHCARE SERVICES

Practice address

569 Dr Martin Luther King Jr Blvd Ste B04
Newark, NJ 07102-1247

Phone

(862) 218-2018

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Oluwamodupe Idowu

Title

President / Ceo

Phone

(862) 218-2018

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1831843200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 DR MARTIN LUTHER KING JR BLVD STE B04",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021247",
            "telephone_number": "862-218-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 DR MARTIN LUTHER KING JR BLVD STE B04",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021247",
            "telephone_number": "862-218-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDRIL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "IDOWU",
        "authorized_official_first_name": "OLUWAMODUPE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "862-218-2018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.