Organization
NEXTRA HEALTH, INC.
Active
Other names
TenderHeart Health Outcomes, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LC WADLE (COO)
(877) 394-1860
Entity
Organization
Contact information
Practice address
12813 FLUSHING MEADOWS DR STE 100, SAINT LOUIS, MO 63131-0015
(800) 950-6020
(314) 821-5102
Mailing address
12813 FLUSHING MEADOWS DR STE 100, SAINT LOUIS, MO 63131-0015
(800) 950-6020
(314) 821-5102
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
B0028507A
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023350
ANCILLARY CARE MANAGEMENT
—
01
—
103698
HEALTHLINK, INC
MO
01
—
105356
BCBS OF MO
MO
05
—
168919202
—
TX
01
—
8200257
UNITED HEALTHCARE - EVERC
TX
Enumeration date
07/21/2006
Last updated
05/28/2025
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