Active NPI
Tender at Heart Assisted Living Facility Inc
- Assisted Living Facility
- Palm Bay, FL
National Provider Identifier
1194068221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 12260
- Legal business name
- TENDER AT HEART ASSISTED LIVING FACILITY INC
- Practice address
- 1773 Hays St NW
Palm Bay, FL 32907-7115 - Phone
- (321) 327-2936
- Fax
- (321) 821-4626
- NPI assigned
- Mar 27, 2013
- Last updated
- Mar 27, 2013
- 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
- Jenny-Ann Johnson
- Title
- Administrator
- Phone
- (321) 327-2936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 12260 | FL | Primary |
Addresses
Primary practice location
1773 Hays St NW
Palm Bay, FL 32907-7115
Mailing address
1773 Hays St NW
Palm Bay, FL 32907-7115
Phone (321) 327-2936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006637200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Home Health Agency
- Palm Bay, FL
- NPI 1265904791
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Atlantis, FL
- NPI 1417005281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1194068221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 HAYS ST NW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329077115",
"telephone_number": "321-327-2936",
"fax_number": "321-821-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1773 HAYS ST NW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329077115",
"telephone_number": "321-327-2936",
"fax_number": "321-821-4626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER AT HEART ASSISTED LIVING FACILITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JENNY-ANN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "321-327-2936"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "12260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006637200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
- Teak Haven Company, LLC
- Tele-Me About It PLLC
- Milena Tellechea Casanueva, ARNP
- Tellycares, LLC
- Tender at Heart Assisted Living Facility I
- Marrilyn K Tennyson, OTR/L
- Bianca Terrier
- That's So Vein
- The Brevard Health Alliance, Inc. (BHA Evans Center Clinic)
- The Broken Bird Inc. (The Broken Bird Inc Counseling Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.