Organization Active NPI

Tender at Heart Assisted Living Facility I

  • Home Health Agency
  • Palm Bay, FL
National Provider Identifier
1265904791
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TENDER AT HEART ASSISTED LIVING FACILITY I
Practice address
1592 Glencove Ave NW
Palm Bay, FL 32907-8609
Phone
(321) 614-0414
NPI assigned
Dec 21, 2018
Last updated
Dec 21, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
TENDER AT HEART ASSISTED LIVING FACILITY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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) 614-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1592 Glencove Ave NW
Palm Bay, FL 32907-8609

Mailing address

1592 Glencove Ave NW
Palm Bay, FL 32907-8609

Other identifiers 1

IdentifierTypeStateIssuer
AL13090OtherASSISTED LIVING FACILITY

National Provider Directory

National Provider Directory
Part of
Tender at Heart Assisted Living Facility Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1265904791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 GLENCOVE AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329078609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 GLENCOVE AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329078609",
            "telephone_number": "321-614-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER AT HEART ASSISTED LIVING FACILITY I",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENDER AT HEART ASSISTED LIVING FACILITY INC",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNY-ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-614-0414"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "AL13090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.