Tender Care Services, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

044-R-0462 Issued in GA

Legal business name

TENDER CARE SERVICES, LLC

Practice address

1166 Hunters Dr
Stone Mountain, GA 30083-2552

Phone

(404) 343-2592

Fax

(404) 920-8188

NPI assigned

Jun 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary A Fayomi

Title

Director

Phone

(404) 343-2592

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1043479611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 HUNTERS DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832552",
            "telephone_number": "404-343-2592",
            "fax_number": "404-920-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 HUNTERS DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832552",
            "telephone_number": "404-343-2592",
            "fax_number": "404-920-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-08",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "FAYOMI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-343-2592",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "044-R-0462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162642967A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.