NPIMap

Organization Active NPI

Tender Care Medical Services of St. Johns County, Inc.

  • Rehabilitation Clinic/Center
  • St Augustine, FL
National Provider Identifier
1619249406
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
Practice address
910 S Winterhawk Dr
Suite 101
St Augustine, FL 32086-3870
Phone
(904) 217-7648
Fax
(352) 666-3232
NPI assigned
Feb 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Mrs. Phyllis Middleton
Title
Administrator
Phone
(904) 217-7648

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Registered Respiratory TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 227900000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

910 S Winterhawk Dr
Suite 101
St Augustine, FL 32086-3870

Mailing address

910 S Winterhawk Dr
Suite 101
St Augustine, FL 32086-3870
Phone (904) 217-7648

National Provider Directory

National Provider Directory
Tax ID family
Tender Care Medical Services of St Johns Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

910 S Winterhawk Dr
Unit 101
St Augustine, FL 32086
Phone (877) 826-7360

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1619249406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S WINTERHAWK DR",
            "address_2": "SUITE 101",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863870",
            "telephone_number": "904-217-7648",
            "fax_number": "352-666-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S WINTERHAWK DR",
            "address_2": "SUITE 101",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863870",
            "telephone_number": "904-217-7648",
            "fax_number": "352-666-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-217-7648",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.