Fletcher's Tendercare

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

60080967 Issued in FL

Legal business name

FLETCHER'S TENDERCARE

Practice address

1934 Beachway Rd
Jacksonville, FL 32207-2320

Phone

(904) 858-9797

Fax

(904) 858-9719

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William David Fletcher

Title

President

Phone

(904) 387-4481

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fletcher Medical3 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.

• Fletcher's Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1457348807
  NPD tax ID
• Fletcher's Medical Supplies, Inc.

  dba Fletcher's Tender Care

  • Pediatric Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1780139741
  NPD tax ID

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1962690297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 DISTRIBUTION AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562742",
            "telephone_number": "904-387-4481",
            "fax_number": "866-381-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 BEACHWAY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072320",
            "telephone_number": "904-858-9797",
            "fax_number": "904-858-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER'S TENDERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-387-4481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "FL",
            "license": "60080967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240001400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgen Rachel Fletcher, PA-C
• Fletcher's Medical Supplies, Inc.
• Fletcher's Medical Supplies, Inc. (Fletcher's Tender Care)
• Fletcher's Tender Care, LLC
• Fletcher's Tender Care, LLC
• Rose Junie J Fleuridor, FNP
• Linda E Flickinger, APRN
• Olivia Flint, AU.D.
• Thomas Flipse, MD
• Trish Flipse, ARNP-BC

• Pediatric Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.