Organization Active NPI

Tender Care Medical Services of St Johns Inc

  • Specialist
  • St Augustine, FL
National Provider Identifier
1780906065
Registry record updated Feb 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TENDER CARE MEDICAL SERVICES OF ST JOHNS INC
Practice address
6 Saint Johns Medical PK Dr
St Augustine, FL 32086-5298
Phone
(352) 683-6831
NPI assigned
Feb 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2010

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

Authorized official

Name
Philip Mazzuco
Title
Owner
Phone
(352) 683-6831

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Pediatric Skilled Nursing Facility 3140N1450X

Addresses

Primary practice location

6 Saint Johns Medical PK Dr
St Augustine, FL 32086-5298

Mailing address

PO Box 5159
Spring Hill, FL 34611-5159

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.

NPI Registry JSON

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

{
    "created_epoch": "1267228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267228800000",
    "number": "1780906065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5159",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346115159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAINT JOHNS MEDICAL PK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865298",
            "telephone_number": "352-683-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER CARE MEDICAL SERVICES OF ST JOHNS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-27",
        "last_updated": "2010-02-27",
        "status": "A",
        "authorized_official_last_name": "MAZZUCO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-683-6831"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 27, 2010; 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.