Organization Active NPI

Tender Care Home Health

  • Home Health Agency
  • San Gabriel, CA
National Provider Identifier
1861491417
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000954 Issued in CA
Legal business name
TENDER CARE HOME HEALTH
Practice address
317 W Las Tunas Dr
208
San Gabriel, CA 91776-1250
Phone
(626) 943-8988
Fax
(626) 943-8999
NPI assigned
Jul 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Ms. May Lay Mak, R.N.
Title
Administrator
Phone
(626) 943-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000954 CA Primary

Addresses

Primary practice location

317 W Las Tunas Dr
208
San Gabriel, CA 91776-1250

Mailing address

317 W Las Tunas Dr
208
San Gabriel, CA 91776-1250
Phone (626) 943-8988

Other identifiers 1

IdentifierTypeStateIssuer
HHA57603FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060705000302 CA Part A Provider - Home Health Agency 4183636475 Practice locations: San Gabriel, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861491417. Details of each certification follow.

Home health agency certification: CCN 557603

Legal name
TENDER CARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 11, 1995
Last certification
Dec 10, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 14, 1995 in CA
Enrollment address
317 W Las Tunas Dr
Ste 208
San Gabriel, CA 91776-1267
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tender Care Home HealthCCN 557603 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 11, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0937337Tender Care Home Health317 W Las Tunas Dr Ste 208, San Gabriel, CA 91776Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory

Locations

8941 Valley Blvd
Ste 201
Rosemead, CA 91770
Phone (626) 943-8988

317 W Las Tunas Dr
Ste 208
San Gabriel, CA 91776
Phone (626) 943-8988

415 W Valley Blvd
#A
San Gabriel, CA 91776
Phone (626) 943-8988

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
May Lay Mak Individual 5% Or Greater Direct Ownership InterestN/a Feb 14, 1995 50%
W-2 Managing EmployeeCeo Feb 14, 1995 50%
Hsiao Fen Chen Individual Contracted Managing EmployeeBoard Member Jun 1, 2006 100%
Guimei Linda Yang Individual 5% Or Greater Direct Ownership InterestN/a May 30, 2009 50%
Corporate DirectorCeo Jan 1, 2015 100%
W-2 Managing EmployeeCeo May 30, 2009 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1861491417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W LAS TUNAS DR",
            "address_2": "208",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761250",
            "telephone_number": "626-943-8988",
            "fax_number": "626-943-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W LAS TUNAS DR",
            "address_2": "208",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761250",
            "telephone_number": "626-943-8988",
            "fax_number": "626-943-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-16",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "MAY",
        "authorized_official_middle_name": "LAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-943-8988",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57603F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.