Fletcher'S Tender Care, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

FLETCHER'S TENDER CARE, LLC

Practice address

1934 Beachway Rd
Jacksonville, FL 32207-2320

Phone

(904) 858-9797

Fax

(904) 399-8474

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

William David Fletcher

Title

President

Phone

(904) 759-3203

Specialties & licenses 2

Addresses

Electronic endpoints 1

Tax ID family

Fletcher'S Tender Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fletcher'S Tender Care, LLC

  • Medically Fragile Infants and Children Day Care
  • Jacksonville, FL
  • NPI 1508520792
  NPD tax ID

Locations

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1336803501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 19TH AVENUE NORTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-759-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 BEACHWAY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072320",
            "telephone_number": "904-858-9797",
            "fax_number": "904-399-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER'S TENDER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-759-3203"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gbetancourt@fletcherstendercare.com",
            "affiliation": "N",
            "endpointDescription": "direct email contact",
            "address_1": "1934 Beachway Rd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322072320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Anne Fletcher, APRN
• Michael Fletcher, MD
• Morgen Rachel Fletcher, PA-C
• Fletcher'S Medical Supplies, Inc.
• Fletcher'S Medical Supplies, Inc.
• Fletcher'S Tender Care, LLC
• Fletcher'S Tendercare
• Rose Junie J Fleuridor, FNP
• Linda E Flickinger, APRN
• Olivia Flint, AU.D.

• Medically Fragile Infants and Children Day Care in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Medically Fragile Infants and Children Day Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.