Healthcare Provider Details

I. General information

NPI: 1043405079
Provider Name (Legal Business Name): TENDER CARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 S UNIVERSITY DR
PLANTATION FL
33324-4018
US

IV. Provider business mailing address

1505 S UNIVERSITY DR
PLANTATION FL
33324-4018
US

V. Phone/Fax

Practice location:
  • Phone: 954-474-9545
  • Fax: 954-474-9780
Mailing address:
  • Phone: 954-474-9545
  • Fax: 954-474-9780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number229032
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number229032
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number229032
License Number StateFL

VIII. Authorized Official

Name: GUYTELLE GAINZA
Title or Position: ADMIN.
Credential:
Phone: 954-474-9545