GREAT GRANDMA'S TENDER, LOVE AND CARE, INC (NPI# 1316240195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316240195 |
| Entity Type | Organization |
| Organization Name | GREAT GRANDMA'S TENDER, LOVE AND CARE, INC |
| Practice Address |
34729 Orchid Pkwy Ridge Manor FL 33523-8864 |
| Practice Telephone | 3525833876 |
| Practice Fax Number | 3525833876 |
| Mailing Telephone | 3525833876 |
| Mailing Fax Number | 3525833876 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |
| Authorized Official Name | MARY PACK (OWNER) |
| Authorized Official Telephone | 3525833876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 693102296 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 693102201 | 05 | |
| FL | ACHA | 231539 | 01 |
| FL | 693102296 | 05 | |
| FL | 693102298 | 05 |
| Street Address |
34729 ORCHID PKWY |
| City | RIDGE MANOR |
| State | FL |
| Zip Code | 33523-8864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446703 | Emad Mansour | Pharmacist | 21650 Us Highway 301, Dade City, FL 33523 | 2020-10-27 |
| 1255738977 | Premier Community Healthcare Group, Inc | Clinic/Center | 38724 Mudcat Grant Blvd, Dade City, FL 33523 | 2014-11-24 |
| 1881869709 | Diana Y Leland | Massage Therapist | 15000 Citrus Country Dr, Suite 212, Dade City, FL 33523 | 2008-04-23 |
| 1659642049 | Spirit Enterprises | Nursing Care | 34213 Spirit Hills Way, Dade City, FL 33523-0630 | 2012-01-18 |
| 1851679088 | Vicky Jane Bahmann | Contractor | 36915 Patton Rd, Dade City, FL 33523-1209 | 2011-07-21 |
| 1265668966 | Carla A Bevins | Speech-Language Pathologist | 21115 Hunter Hill Dr, Dade City, FL 33523-1313 | 2009-06-09 |
| 1023139920 | Kristina May Lombardi | Pharmacist | 30704 Hawkeye Rd, Dade City, FL 33523-1943 | 2007-04-02 |
| 1942491154 | Beth Lorraine Genho | Dentist | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2007-08-05 |
| 1649882945 | Premier Community Healthcare Group, Inc | Clinic/Center | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2020-08-18 |
| 1972027654 | Momentum Physical Therapy and Fitness Pllc | Physical Therapist | 14540 7th St, Dade City, FL 33523-3101 | 2017-08-03 |
| Find all providers in zip 33523 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1720691017 | Good Shepherd Hospice, Inc. | Hospice Care, Community Based | 11400 Overseas Hwy Ste 201, Marathon, FL 33050-3600 | 2020-08-26 |
| 1356953483 | Wellness Homecare LLC | Hospice Care, Community Based | 4320 Sunbeam Rd Apt 315, Jacksonville, FL 32257-8829 | 2020-08-19 |
| 1689282592 | Amzn Eco LLC | Hospice Care, Community Based | 5610 Fort Caroline Rd Ste 6, Jacksonville, FL 32277-1794 | 2020-07-16 |
| 1316564685 | All American Hospice, LLC | Hospice Care, Community Based | 1906 Skyline Blvd, Cape Coral, FL 33991-3388 | 2020-07-02 |
| 1871110858 | Continuum Care of Broward LLC | Hospice Care, Community Based | 7771 W Oakland Park Blvd Ste 150, Sunrise, FL 33351-6705 | 2020-06-25 |
| 1174150452 | Sls Caring Hands | Hospice Care, Community Based | 8767 Norfolk Blvd, Jacksonville, FL 32208-1915 | 2020-03-25 |
| 1437783453 | Onsite Dental Solutions | Hospice Care, Community Based | 11924 Forest Hill Blvd # 10b, Wellington, FL 33414-6256 | 2020-02-28 |
| 1831721786 | Tc Cares, LLC | Hospice Care, Community Based | 318 Irving Bend Dr, Groveland, FL 34736-8248 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | RIDGE MANOR |
| Zip Code | 33523 |
Please comment or provide details below to improve the information on GREAT GRANDMA'S TENDER, LOVE AND CARE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.