Organization Active NPI

Tender Loving Care Services Corp

  • In Home Supportive Care Agency
  • Perry, FL
National Provider Identifier
1467744169
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
14815 Issued in FL
Legal business name
TENDER LOVING CARE SERVICES CORP
Practice address
115 W Green St
Suite 204
Perry, FL 32347-3226
Phone
(850) 223-1936
NPI assigned
May 12, 2011
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Staci Richardson
Title
Director
Phone
(850) 223-1936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 14815 FL Primary

Addresses

Primary practice location

115 W Green St
Suite 204
Perry, FL 32347-3226

Mailing address

115 W Green St
Suite 204
Perry, FL 32347-3226
Phone (850) 223-1936

Other identifiers 2

IdentifierTypeStateIssuer
688271496MedicaidFL
688271498MedicaidFL

National Provider Directory

National Provider Directory

Locations

115 W Green St
Ste 204
Perry, FL 32347
Phone (850) 223-1936

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1467744169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W GREEN ST",
            "address_2": "SUITE 204",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323473226",
            "telephone_number": "850-223-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W GREEN ST",
            "address_2": "SUITE 204",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323473226",
            "telephone_number": "850-223-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-223-1936"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "14815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688271496",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688271498",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.