NPIMap

Organization Active NPI

Tender Hearts Enterprises, LLC

  • Assisted Living Facility
  • Lake Mary, FL
National Provider Identifier
1790930568
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10325 Issued in FL
Legal business name
TENDER HEARTS ENTERPRISES, LLC
Practice address
350 E Pinewood CT
Lake Mary, FL 32746-5922
Phone
(407) 529-4787
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Mr. Timoteo Juan Chacon, CRNA/ARNP
Title
Sr. Partner
Phone
(407) 529-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10325 FL Primary

Addresses

Primary practice location

350 E Pinewood CT
Lake Mary, FL 32746-5922

Mailing address

478 E Altamonte Dr
Suite 108-205
Altamonte Springs, FL 32701-4628
Phone (407) 529-4787

Other names 1

  • Tender Hearts of E Pinewood Ct Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tender Hearts Enterprises LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1790930568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 E ALTAMONTE DR",
            "address_2": "SUITE 108-205",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014628",
            "telephone_number": "407-529-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E PINEWOOD CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465922",
            "telephone_number": "407-529-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HEARTS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "TIMOTEO",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "SR. PARTNER",
        "authorized_official_telephone_number": "407-529-9292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA/ARNP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Hearts of E Pinewood Ct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.