Organization
GREAT GRANDMA'S TENDER, LOVE AND CARE, INC
Active
Organization
GREAT GRANDMA'S TENDER, LOVE AND CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PACK (OWNER)
(352) 583-3876
Entity
Organization
Contact information
Practice address
34729 ORCHID PKWY, RIDGE MANOR, FL 33523-8864
(352) 583-3876
(352) 583-3876
Mailing address
34729 ORCHID PKWY, RIDGE MANOR, FL 33523-8864
(352) 583-3876
(352) 583-3876
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
693102296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231539
ACHA
FL
05
—
693102201
—
FL
05
—
693102296
—
FL
05
—
693102298
—
FL
Enumeration date
12/16/2010
Last updated
12/16/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up