Organization
TENDER HEARTS HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK PETRIE RRT (CEO)
(434) 385-4001
Entity
Organization
Contact information
Practice address
808 WIGGINGTON RD, STE E, LYNCHBURG, VA 24502-4634
(434) 385-4001
(434) 385-1003
Mailing address
808 WIGGINGTON RD, STE E, LYNCHBURG, VA 24502-4634
(434) 385-4001
(434) 385-1003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009292
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0206009292
VA
332BX2000X
Oxygen Equipment & Supplies (DME)
0206009292
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134873
SENTARA HEALTH PLANS
VA
01
—
181178
ANTHEM BCBS PROVIDER ID
VA
Enumeration date
06/18/2006
Last updated
09/11/2025
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