TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
NPI 1619249406
Clinic/Center - Rehabilitation in St Augustine, FL
- 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 Verify this NPI
- 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.
Reviews for TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
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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.
