TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
NPI 1346804077
Clinic/Center - Medically Fragile Infants and Children Day Care in Palatka, FL

Active since April 29, 2019CLIA 10D2158610 · Waiver
927 S STATE ROAD 19, PALATKA, FL 32177(386) 336-9028(386) 336-9029 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tender Care Medical Services Of St. Johns County, Inc. NPPES

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

TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC. (NPI 1346804077) is a healthcare organization registered as a medically fragile infants and children day care in Palatka, Florida and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Lori Mazzuco, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1346804077
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NameTENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
Location Address927 S STATE ROAD 19Palatka, FL 32177-9397
Mailing AddressPo Box 5159Spring Hill, FL 34611-5159 · (352) 683-6831
Fax(386) 336-9029
Organization SubpartYes
Authorized OfficialLori MazzucoBilling Specialist · (352) 683-6831
Enumeration DateApril 29, 2019
NPI 1346804077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
927 S STATE ROAD 19, Palatka, FL 32177

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2158610

Tender Care Medical Services Of St Johns County Inc · Palatka, FL
Active · expires Dec 2, 2026
CLIA Number10D2158610
Laboratory TypePrescribed Pediatrics
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorSabah Bryant
Laboratory Phone(386) 336-9028
Laboratory LocationTender Care Medical Services Of St Johns County Inc927 S State Rd 19, Palatka, FL 32177
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
927 S STATE ROAD 19
PALATKA, FL 32177
Physical Therapist
927 S STATE ROAD 19
PALATKA, FL 32177

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 Tender Care Medical Services Of St. Johns County, Inc.'s NPI number?

The NPI number for Tender Care Medical Services Of St. Johns County, Inc. is 1346804077. It was assigned to this organization in the NPPES registry on April 29, 2019.

Where is Tender Care Medical Services Of St. Johns County, Inc. located?

Tender Care Medical Services Of St. Johns County, Inc. is located at 927 S State Road 19, Palatka, FL 32177. The listed phone number is (386) 336-9028.

What is Tender Care Medical Services Of St. Johns County, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

Does Tender Care Medical Services Of St. Johns County, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2158610) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tender Care Medical Services Of St. Johns County, Inc. was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.