Queen Tender Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0105300 Issued in NJ

Legal business name

QUEEN TENDER CARE

Practice address

901 3Rd Ave
Asbury Park, NJ 07712-5803

Phone

(732) 361-3113

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Hervianne Fonrose, CNA

Title

Administrator

Phone

(732) 361-3113

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1053590786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 EMBURY AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535041",
            "telephone_number": "732-361-3113",
            "fax_number": "732-359-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 3RD AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125803",
            "telephone_number": "732-361-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN TENDER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "FONROSE",
        "authorized_official_first_name": "HERVIANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-361-3113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0105300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.