Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. TAMARA GRIGALTCHIK
NPI 1265762017
Custodial Care Facility - Adult Care Home in North Port, FL

Q: What is Tamara Grigaltchik's NPI number?

The NPI number for Tamara Grigaltchik is 1265762017. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Q: What is Tamara Grigaltchik's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since December 29, 2009

12105 MADRID AVE, NORTH PORT, FL 34287(941) 800-6212 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Mrs. Tamara Grigaltchik NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMARA GRIGALTCHIK (NPI 1265762017) is an individual adult care home provider in North Port, Florida, licensed in Florida (6906380) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1265762017

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameMRS. TAMARA GRIGALTCHIK

Location Address12105 MADRID AVENorth Port, FL 34287-1123

Mailing Address12105 Madrid AveNorth Port, FL 34287-1123 · (941) 800-6212

Phone(941) 800-6212

Sole ProprietorYes

Enumeration DateDecember 29, 2009

Last NPPES UpdateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1265762017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in FL · 6906380

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

12105 MADRID AVE, North Port, FL 34287

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Grigaltchik's NPI number?

The NPI number for Tamara Grigaltchik is 1265762017. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Where is Tamara Grigaltchik located?

Tamara Grigaltchik practices at 12105 Madrid Ave, North Port, FL 34287. The listed phone number is (941) 800-6212.

What is Tamara Grigaltchik's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Tamara Grigaltchik was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.