Provider Demographics
NPI:1730538372
Name:TENDER CARE AND HEALTH SYSTEM, LLC
Entity type:Organization
Organization Name:TENDER CARE AND HEALTH SYSTEM, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADRACE
Authorized Official - Suffix:
Authorized Official - Credentials:RN/BSN
Authorized Official - Phone:239-249-1078
Mailing Address - Street 1:4835 TAHITI LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-3707
Mailing Address - Country:US
Mailing Address - Phone:239-249-1078
Mailing Address - Fax:
Practice Address - Street 1:4835 TAHITI LN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-3707
Practice Address - Country:US
Practice Address - Phone:239-249-1078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities