# PROBITY TENDER CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609579796
- **Authorized official:** MOHAMMED MOMODU (OWNER)
- **Authorized official phone:** (404) 883-8006

## Contact information

- **Practice address:** 212 EVERGREEN WAY, LOGANVILLE, GA 30052-3160
- **Practice address phone:** (404) 883-8006
- **Mailing address:** 212 EVERGREEN WAY, LOGANVILLE, GA 30052-3160
- **Mailing address phone:** (404) 883-8006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164X00000X | Licensed Vocational Nurse | — | NULL | — |
| 164X00000X | Licensed Vocational Nurse | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 03/27/2023
- **Last updated:** 03/27/2023