- Enrollment id
- O20091114000058
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1043416761
- Multiple npi flag
- N
- Ccn
- 459088
- Associate id
- 7810035631
- Organization name
- TENDER HOME HEALTH CARE INC
- Incorporation date
- 1996-04-26
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 407 W BAKER RD
- Address line 2
- STE S
- City
- BAYTOWN
- State
- TX
- Zip code
- 775212381