Organization Active NPI

Rose's Tender Care Assisted Living LLC

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1437911211
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROSE'S TENDER CARE ASSISTED LIVING LLC
Practice address
280 Croquet Ave NE
Palm Bay, FL 32907-3023
Phone
(407) 731-7181
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Mable Duncan
Title
Owner
Phone
(407) 731-7181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

280 Croquet Ave NE
Palm Bay, FL 32907-3023

Mailing address

280 Croquet Ave NE
Palm Bay, FL 32907-3023
Phone (407) 731-7181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1437911211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CROQUET AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073023",
            "telephone_number": "407-731-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CROQUET AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073023",
            "telephone_number": "407-731-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE'S TENDER CARE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "MABLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-731-7181"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 26, 2024; 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.