Active NPI
Tender Loving Care Services Corp
- In Home Supportive Care Agency
- Perry, FL
National Provider Identifier
1467744169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 14815
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688271496 | Medicaid | FL | |
| 688271498 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.