Provider Demographics
NPI:1073550877
Name:TENDER CARE CENTERS, INC.
Entity Type:Organization
Organization Name:TENDER CARE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-763-5444
Mailing Address - Street 1:1821 SE 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2807
Mailing Address - Country:US
Mailing Address - Phone:954-763-5444
Mailing Address - Fax:352-666-3218
Practice Address - Street 1:1821 SE 4TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2807
Practice Address - Country:US
Practice Address - Phone:954-763-5444
Practice Address - Fax:352-666-3218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6005095261QM3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300007900Medicaid