Organization Active NPI

Tender Care Home Health Care LLC

  • Home Health Agency
  • Florence, SC
National Provider Identifier
1871750018
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TENDER CARE HOME HEALTH CARE LLC
Practice address
1245 Celebration Blvd
Florence, SC 29501-5499
Phone
(843) 669-0104
Fax
(843) 629-0325
NPI assigned
May 16, 2008
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Mr. Darrell Kenyatta Tennie
Title
Administrator
Phone
(843) 669-0104

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1245 Celebration Blvd
Florence, SC 29501-5499

Mailing address

3005 Village Park Dr
Suite 204 B
Knightdale, NC 27545-7993
Phone (843) 669-0104

Other identifiers 1

IdentifierTypeStateIssuer
EX0784MedicaidSC

National Provider Directory

National Provider Directory

Locations

3005 Village Park Dr
Ste 204B
Knightdale, NC 27545
Phone (919) 217-0933

1245 Celebration Blvd
Florence, SC 29501
Phone (919) 366-6258

1249 Celebration Blvd
Florence, SC 29501

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1871750018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 VILLAGE PARK DR",
            "address_2": "SUITE 204 B",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457993",
            "telephone_number": "843-669-0104",
            "fax_number": "843-629-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CELEBRATION BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015499",
            "telephone_number": "843-669-0104",
            "fax_number": "843-629-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER CARE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "TENNIE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "KENYATTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-669-0104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0784",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.