NPIMap

Organization Active NPI

Tender Care Supportive Living

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1972958502
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
W4521768961102 Issued in WI
Legal business name
TENDER CARE SUPPORTIVE LIVING
Practice address
3746 N 5TH St
Milwaukee, WI 53212-4120
Phone
(414) 678-8767
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dellareese Williams, B.S.
Title
Director
Phone
(414) 678-8767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X W4521768961102 WI Primary

Addresses

Primary practice location

3746 N 5TH St
Milwaukee, WI 53212-4120

Mailing address

3746 N 5TH St
Milwaukee, WI 53212-4120
Phone (414) 678-8767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1972958502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 N 5TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124120",
            "telephone_number": "414-678-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 N 5TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124120",
            "telephone_number": "414-678-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER CARE SUPPORTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DELLAREESE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-678-8767",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "W4521768961102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.