Tand L Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HP0198200 Issued in NJ

Legal business name

TAND L CARE, LLC

Practice address

1458 Mallard Rd
Glassboro, NJ 08028-8337

Phone

(888) 523-4197

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Melinda Cooper

Title

Ceo

Phone

(302) 836-8160

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1467835173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 MALLARD RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080288337",
            "telephone_number": "888-523-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 MALLARD RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080288337",
            "telephone_number": "888-523-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAND L CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-836-8160",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "HP0198200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-PAR PROVIDER ID NUMBER WITH HORIZON NJ HEALTH INSURANCE",
            "identifier": "60158975",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Supernavage, APN
• Marquetta S Surratt, M.A., LPC
• Grace Lynn Suttera, M.ED., LAC
• Matthew Swan, LSW
• Joseph B Szgalsky, MD, FAAFP
• Johnnie Lynn Taylor III, MA
• Mavola Tench, MD
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)

• In Home Supportive Care Agency in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.