Active NPI
Tendercare Living Facilities Inc
- Assisted Living Facility
- Miramar, FL
National Provider Identifier
1255562468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11440
- Legal business name
- TENDERCARE LIVING FACILITIES INC
- Practice address
- 2906 Sunshine Blvd
Miramar, FL 33023-3723 - Phone
- (954) 986-3095
- Fax
- (305) 651-3330
- NPI assigned
- Aug 5, 2009
- 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
- Gerald Oviasogie
- Title
- Administrator
- Phone
- (954) 986-3095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL11440 | FL | Primary |
Addresses
Primary practice location
2906 Sunshine Blvd
Miramar, FL 33023-3723
Mailing address
2906 Sunshine Blvd
Miramar, FL 33023-3723
Phone (954) 986-3095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000444500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249430400000",
"number": "1255562468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2906 SUNSHINE BLVD",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330233723",
"telephone_number": "954-986-3095",
"fax_number": "305-651-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 SUNSHINE BLVD",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330233723",
"telephone_number": "954-986-3095",
"fax_number": "305-651-3330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDERCARE LIVING FACILITIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-05",
"last_updated": "2009-08-05",
"status": "A",
"authorized_official_last_name": "OVIASOGIE",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-986-3095"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL11440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000444500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.