Organization Active NPI

Tender Loving Care Assisted Living Facility of Florida, Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1194936237
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 10309 Issued in FL
Legal business name
TENDER LOVING CARE ASSISTED LIVING FACILITY OF FLORIDA, INC
Practice address
3100 SW 79TH Ave
Miami, FL 33155-2511
Phone
(305) 264-9138
Fax
(305) 225-1289
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Damarys Cruz
Title
Owner/Administrator
Phone
(305) 332-3057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 10309 FL Primary

Addresses

Primary practice location

3100 SW 79TH Ave
Miami, FL 33155-2511

Mailing address

3100 SW 79TH Ave
Miami, FL 33155-2511
Phone (305) 264-9138

Other identifiers 2

IdentifierTypeStateIssuer
142285500MedicaidFL
115629500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1194936237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 79TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552511",
            "telephone_number": "305-264-9138",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 79TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552511",
            "telephone_number": "305-264-9138",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE ASSISTED LIVING FACILITY OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "DAMARYS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-332-3057"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142285500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115629500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.