Tender Loving Hospitality

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL8652 Issued in FL

Legal business name

TENDER LOVING HOSPITALITY

Practice address

125 NE 9TH Ave
Crystal River, FL 34429-4425

Phone

(352) 563-1218

Fax

(352) 563-0511

NPI assigned

Mar 6, 2013

Last updated

Mar 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Drucella Dixon Devaughn

Title

Owner/Administrator

Phone

(354) 563-1218

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1922349539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NE 9TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294425",
            "telephone_number": "352-563-1218",
            "fax_number": "352-563-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NE 9TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294425",
            "telephone_number": "352-563-1218",
            "fax_number": "352-563-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING HOSPITALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "DEVAUGHN",
        "authorized_official_first_name": "DRUCELLA",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "354-563-1218",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL8652",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "AL8652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas W Dawson OD
• Ashley Thomas, APRN
• Coty Jo Tino, M.D.

• Assisted Living Facility (Mental Illness) in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.