Kay Tender Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

KAY TENDER CARE LLC

Practice address

178 Glen Eagle Way
McDonough, GA 30253-4228

Phone

(561) 317-0764

Fax

(404) 341-7626

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Nerlin Stfleur

Title

Administrator

Phone

(561) 317-0764

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1912613068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 GLEN EAGLE WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534228",
            "telephone_number": "561-317-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 GLEN EAGLE WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534228",
            "telephone_number": "561-317-0764",
            "fax_number": "404-341-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY TENDER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "STFLEUR",
        "authorized_official_first_name": "NERLIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-317-0764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nelly@kaytendercare.com",
            "affiliation": "N",
            "endpointDescription": "nelly@kaytendercare.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "178 Glen Eagle Way",
            "city": "McDonough",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302534228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nursing Care Agency in McDonough, GA
• Providers in McDonough, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.