Active NPI
Tender Care Adult Center
- Adult Day Care Clinic/Center
- Dorchester, MA
National Provider Identifier
1154682326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- TENDER CARE ADULT CENTER
- Practice address
- 1102 Blue Hill Ave
Suite a
Dorchester, MA 02124-3108 - Phone
- (617) 265-2875
- Fax
- (617) 265-0146
- NPI assigned
- Jun 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Samantha Natalie Jeudy
- Title
- Owner
- Phone
- (617) 265-2875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1102 Blue Hill Ave
Suite a
Dorchester, MA 02124-3108
Mailing address
1102 Blue Hill Ave
Suite a
Dorchester, MA 02124-3108
Phone (617) 265-2875
National Provider Directory
National Provider DirectoryLocations
1102 Blue Hill Ave
#A
Dorchester, MA 02124
Phone (617) 265-2875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338854400000",
"number": "1154682326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 BLUE HILL AVE",
"address_2": "SUITE A",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021243108",
"telephone_number": "617-265-2875",
"fax_number": "617-265-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 BLUE HILL AVE",
"address_2": "SUITE A",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021243108",
"telephone_number": "617-265-2875",
"fax_number": "617-265-0146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER CARE ADULT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A",
"authorized_official_last_name": "JEUDY",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "NATALIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-265-2875",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.