# TENDER HEART SUPPORTIVE SERVICES

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

## Provider details

- **NPI number:** 1639988611
- **Authorized official:** HELEN KEHINDE (OWNER)
- **Authorized official phone:** (973) 517-9271

## Contact information

- **Practice address:** 74 MAIN ST, LEBANON, NJ 08833-2158
- **Practice address phone:** (973) 517-9271
- **Mailing address:** 12 VILLAGE GATE RD, WASHINGTON, NJ 07882-4402
- **Mailing address phone:** (973) 517-9271
- **Mailing address fax:** (908) 935-0916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/03/2025
- **Last updated:** 03/05/2025