GREAT GRANDMA'S TENDER, LOVE AND CARE, INC; NPI #1316240195

Contact Information

GREAT GRANDMA'S TENDER, LOVE AND CARE, INC

34729 ORCHID PKWY
RIDGE MANOR, FL 33523-8864

Phone: 352-583-3876
Fax: 352-583-3876
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for GREAT GRANDMA'S TENDER, LOVE AND CARE, INC

NPI # 1316240195

LBN Legal business name GREAT GRANDMA'S TENDER, LOVE AND CARE, INC

Authorized official MARY PACK - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/16/2010

Last updated 12/16/2010 - About 15 years ago

Identifiers

FL	License #	693102296
FL	Medicaid	693102201
FL	Medicaid	693102296
FL	Medicaid	693102298
FL	Other	231539	ACHA

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GREAT GRANDMA'S TENDER, LOVE AND CARE, INC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for GREAT GRANDMA'S TENDER, LOVE AND CARE, INC

Reviews for GREAT GRANDMA'S TENDER, LOVE AND CARE, INC