Healthcare Provider Details

I. General information

NPI: 1538049416
Provider Name (Legal Business Name): TENDER HEARTS COMPANION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 08/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 ARLINGTON EXPY STE B105
JACKSONVILLE FL
32211-0810
US

IV. Provider business mailing address

6501 ARLINGTON EXPY STE B105
JACKSONVILLE FL
32211-0810
US

V. Phone/Fax

Practice location:
  • Phone: 904-717-5842
  • Fax:
Mailing address:
  • Phone: 904-717-5842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. ASHLEY LOVETT
Title or Position: ADMINISTRATOR
Credential:
Phone: 904-717-5842