Organization Active NPI

Tendercare

  • Skilled Nursing Facility
  • Brownstown, MI
National Provider Identifier
1922439272
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TENDERCARE
Practice address
19300 Wherle Dr
Brownstown, MI 48193-8530
Phone
(313) 671-6231
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Mrs. Kimberly Ann Hall, COTA/LNPI 1962899740
Title
Certified Occupational Therapy Asst
Phone
(313) 671-6231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MI Primary

Addresses

Primary practice location

19300 Wherle Dr
Brownstown, MI 48193-8530

Mailing address

22950 Northline Rd
Taylor, MI 48180-4696
Phone (734) 287-1230

Other identifiers 1

IdentifierTypeStateIssuer
5202002761OtherMIBOARD OF OCCUPATIONAL THERAPIST OCCUPATIONAL THERAPY ASSISTANT LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1922439272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22950 NORTHLINE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804696",
            "telephone_number": "734-287-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 WHERLE DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481938530",
            "telephone_number": "313-671-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPY ASST",
        "authorized_official_telephone_number": "313-671-6231",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OCCUPATIONAL THERAPIST OCCUPATIONAL THERAPY ASSISTANT LICENSE",
            "identifier": "5202002761",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.