Organization Active NPI

Tender Loving Care Providers, Inc.

  • Private Vehicle
  • Port St Lucie, FL
National Provider Identifier
1720265424
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
PN1068941 Issued in FL
Legal business name
TENDER LOVING CARE PROVIDERS, INC.
Practice address
6494 N. W. Groveland Terrace
Port St. Lucie, FL 34986-3825
Phone
(561) 644-4283
NPI assigned
Jan 24, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Bridgette Annetta HarrisNPI 1548380033
Title
Licensed Practical Nurse
Phone
(561) 644-4283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PN1068941 FL
Community Based Hospice Care Agency 251G00000X PN1068941 FL
Nursing Care Agency 251J00000X PN1068941 FL
Assisted Living Facility 310400000X PN1068941 FL
Adult Care Home Facility 311ZA0620X PN1068941 FL
Non-emergency Medical Transport (VAN) 343900000X PN1068941 FL
Private Vehicle 347C00000X PN1068941 FL Primary
Licensed Practical Nurse 164W00000X

Addresses

Primary practice location

6494 N. W. Groveland Terrace
Port St. Lucie, FL 34986-3825

Mailing address

6494 N. W. Groveland Terrace
Port St. Lucie, FL 34986-3825
Phone (561) 644-4283

Other identifiers 1

IdentifierTypeStateIssuer
692853696MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1720265424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6494 N. W. GROVELAND TERRACE",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "349863825",
            "telephone_number": "561-644-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6494 N. W. GROVELAND TERRACE",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "349863825",
            "telephone_number": "561-644-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_middle_name": "ANNETTA",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "561-644-4283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "PN1068941",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "PN1068941",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "PN1068941",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "PN1068941",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "PN1068941",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "PN1068941",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "PN1068941",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692853696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.