NEFERTITI TATE DIRECTOR NPI 1093106387

NPI Information

NPI: 1093106387
Provider Name: NEFERTITI TATE, DIRECTOR
Classification: Adult Companion - 372600000X
Entity Type: Individual
Address: 945 25TH DR E STE 1
ELLENTON, FL
ZIP 34222
Phone: (941) 981-5342

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NPI Details

Nefertiti Tate, DIRECTOR is an adult companion in Ellenton, FL. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Nefertiti Tate, DIRECTOR NPI is 1093106387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

945 25TH DR E STE 1
ELLENTON, FL
ZIP 34222-054
Phone: (941) 981-5342
Fax: (941) 981-5351

The enumeration date for this NPI number is 2/9/2015 and was last updated on 6/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services			No
2	347C00000X	Private Vehicle			No
3	376J00000X	Homemaker	233808	FLORIDA	No
4	372600000X	Adult Companion	233808	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	233951	OTHER	FLORIDA	STATE LICENSE
2	233808	OTHER	FLORIDA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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