All About Tender Care Snellville LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

ALL ABOUT TENDER CARE SNELLVILLE LLC

Practice address

3922 Centerville Hwy # 124
Snellville, GA 30039-6414

Phone

(770) 982-5482

NPI assigned

Jun 29, 2017

Last updated

Jun 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Jacobs

Title

Administrator

Phone

(770) 982-5482

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tender Care Assisted Living At Snellville LLC Former legal business name

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1316468382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1726",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300851726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 CENTERVILLE HWY # 124",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396414",
            "telephone_number": "770-982-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT TENDER CARE SNELLVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-982-5482"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE FACILITIES REGULATORY DIVISION",
            "identifier": "067020171",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Care Assisted Living At Snellville LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Aide in Snellville, GA
• Providers in Snellville, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.