Tender Vessel Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

TENDER VESSEL HOME CARE LLC

Practice address

7607 Roanoke Ave
Annandale, VA 22003-5446

Phone

(803) 365-5208

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Marilou Grafilo GereroNPI 1033906631

Title

Administrator

Phone

(803) 365-5208

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marilou Grafilo Gerero

  • Behavior Technician
  • Gaithersburg, MD
  • NPI 1033906631
  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1932850682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 ROANOKE AVE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035446",
            "telephone_number": "803-365-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 ROANOKE AVE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035446",
            "telephone_number": "803-365-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER VESSEL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "GERERO",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "GRAFILO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-365-5208"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Jean Syron, MS, CCC-SLP
• Fojan Taheri, BCBA, LBA
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• Thanh T. Pham, D.D.S., P.C.
• Sharon Dolores Thaniel, MS, BCBA,LBA
• Jane Kennemer Thatcher, MSW
• The 7Q Foundation

• Adult Care Home Facility in Annandale, VA
• Providers in Annandale, VA by specialty
• Adult Care Home Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.