Active NPI
Tender at Heart Assisted Living Facility I
- Home Health Agency
- Palm Bay, FL
National Provider Identifier
1265904791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2018
- Organization subpart
- Yes
- Parent organization
- TENDER AT HEART ASSISTED LIVING FACILITY INC
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) 614-0414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL13090 | Other | ASSISTED 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.
-
- Assisted Living Facility
- Palm Bay, FL
- NPI 1194068221
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.