FLETCHER'S TENDER CARE, LLC
NPI 1508520792
Clinic/Center - Medically Fragile Infants and Children Day Care in Jacksonville, FL
NPI Status: Active since October 25, 2021
Contact Information
641 WEST 4TH STREET
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 858-9797
Fax: (904) 858-1792
- Organization
- Clinic/Center
- Medically Fragile Infants and Children D...
- CLIA Number: 10D2127689
- CLIA Cert. Type: Other - PRESCRIBED PEDIATRIC EXT
- CLIA Exp. Date: 03-15-2027
About FLETCHER'S TENDER CARE, LLC
This page provides the complete NPI Profile along with additional information for Fletcher's Tender Care, Llc, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in medically fragile infants and children day care . The healthcare provider is registered in the NPI registry with number 1508520792 assigned on October 2021. The practitioner's primary taxonomy code is 261QM3000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is William David Fletcher (President)
- NPI
- 1508520792
- Provider Name
- FLETCHER'S TENDER CARE, LLC
- Entity Type
- Organization
- Location Address
- 641 WEST 4TH STREET JACKSONVILLE, FL 32209
- Location Phone
- (904) 858-9797
- Location Fax
- (904) 858-1792
- Mailing Address
- 59 19TH AVENUE NORTH JACKSONVILLE, FL 32250
- Mailing Phone
- (904) 759-3203
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2021
- Last Update Date
- 11-02-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medically Fragile Infants and Children Day Care
- Taxonomy Code
- 261QM3000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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.).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3140N1450X | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2127689
- Facility Type
- Other - PRESCRIBED PEDIATRIC EXT
- Certificate Effective Date
- March 16, 2025
- Certificate Expiration Date
- March 15, 2027
- Laboratory Director
- ERICKA COOKS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fletcher's Tender Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1508520792, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508520792, enumerated as an "organization" on October 25, 2021.
The provider is located at 641 WEST 4TH STREET JACKSONVILLE, FL 32209 and the phone number is (904) 858-9797.
Clinic/Center with taxonomy code 261QM3000X and a focus in Medically Fragile Infants and Children Day Care.
