Organization Active NPI

Tender Rose Dementia Care Specialists LLC

  • In Home Supportive Care Agency
  • Daly City, CA
National Provider Identifier
1740047216
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TENDER ROSE DEMENTIA CARE SPECIALISTS LLC
Practice address
2001 Junipero Serra Blvd Ste 520
Daly City, CA 94014-3888
Phone
(650) 741-9108
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Sean Cygan
Title
Compliance Associate
Phone
(858) 287-3077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2001 Junipero Serra Blvd Ste 520
Daly City, CA 94014-3888

Mailing address

7777 Fay Ave Ste 210
La Jolla, CA 92037-4325
Phone (858) 287-3077

National Provider Directory

National Provider Directory

Locations

2001 Junipero Serra Blvd
Ste 520
Daly City, CA 94014
Phone (650) 741-9108

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1740047216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FAY AVE STE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374325",
            "telephone_number": "858-287-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 JUNIPERO SERRA BLVD STE 520",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940143888",
            "telephone_number": "650-741-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER ROSE DEMENTIA CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "CYGAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "COMPLIANCE ASSOCIATE",
        "authorized_official_telephone_number": "858-287-3077"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.