Tender Heart Adult Day Health Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

TENDER HEART ADULT DAY HEALTH CARE

Practice address

9499 I Ave
Hesperia, CA 92345-6282

Phone

(760) 244-8776

Fax

(760) 244-9456

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nelly Supapo Lizaso, MBA

Title

Administrator

Phone

(760) 244-8776

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487729307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9499 I AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456282",
            "telephone_number": "760-244-8776",
            "fax_number": "760-244-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9499 I AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456282",
            "telephone_number": "760-244-8776",
            "fax_number": "760-244-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HEART ADULT DAY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIZASO",
        "authorized_official_first_name": "NELLY",
        "authorized_official_middle_name": "SUPAPO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-244-8776",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY HEALTH CARE",
            "identifier": "ADU70199F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.