Active NPI
Tender Care Medical Services of St Johns Inc
- Specialist
- St Augustine, FL
National Provider Identifier
1780906065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Specialist | 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 Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medically Fragile Infants and Children Day Care
- Palatka, FL
- NPI 1346804077
-
- Clinic/Center
- Palatka, FL
- NPI 1356905079
-
- Rehabilitation Clinic/Center
- St Augustine, FL
- NPI 1619249406
-
- Medically Fragile Infants and Children Day Care
- St Augustine, FL
- NPI 1902178775
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
- Catherine Noelani Taylor, ED.M
- Tiffany Michelle Taylor, APRN
- Taylored Speech Therapy LLC
- Dalton Teague
- Oscar Antonio Tejeda
- Tender Care Medical Services of St. Johns County, Inc.
- Tender Care Medical Services of St. Johns County, Inc.
- Tender Loving Care Health Care Services of Florida, L.L.C. (Amedisys Home Health)
- Tender Luvin Care III Corp
- Deborah Fisher Terry, DNP, ARNP, ANP-BC
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.