TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
NPI 1619249406
Clinic/Center - Rehabilitation in St Augustine, FL
NPI Status: Active since February 08, 2012
Contact Information
910 S WINTERHAWK DR
SUITE 101
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 217-7648
Fax: (352) 666-3232
- Organization
- Clinic/Center
- Rehabilitation
- CLIA Number: 10D2037180
- CLIA Cert. Type: Other - PRESCRIBED PEDIATRICS PPE
- CLIA Exp. Date: 02-20-2028
About TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
This page provides the complete NPI Profile along with additional information for Tender Care Medical Services Of St. Johns County, Inc., a provider established in St Augustine, Florida operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1619249406 assigned on February 2012. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Phyllis Middleton (Administrator)
- NPI
- 1619249406
- Provider Name
- TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
- Entity Type
- Organization
- Location Address
- 910 S WINTERHAWK DR SUITE 101 ST AUGUSTINE, FL 32086
- Location Phone
- (904) 217-7648
- Location Fax
- (352) 666-3232
- Mailing Address
- 910 S WINTERHAWK DR SUITE 101 ST AUGUSTINE, FL 32086
- Mailing Phone
- (904) 217-7648
- Mailing Fax
- (352) 666-3232
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2012
- Last Update Date
- 02-09-2012
- 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 Rehabilitation
- Taxonomy Code
- 261QR0400X
- Type
- Ambulatory Health Care Facilities
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 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 3 | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | |
| 4 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 10D2037180
- Facility Type
- Other - PRESCRIBED PEDIATRICS PPE
- Certificate Effective Date
- February 21, 2026
- Certificate Expiration Date
- February 20, 2028
- Laboratory Director
- PHYLLIS MIDDLETON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tender Care Medical Services Of St. Johns County, Inc. 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 1619249406, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
ST AUGUSTINE, FL 32086
SAINT AUGUSTINE, FL 32086
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619249406, enumerated as an "organization" on February 08, 2012.
The provider is located at 910 S WINTERHAWK DR SUITE 101 ST AUGUSTINE, FL 32086 and the phone number is (904) 217-7648.
Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.
