TANDA CARE LLC NPI 1114752920

NPI Information

  • NPI: 1114752920
  • Provider Name: TANDA CARE, LLC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • :
  • Address: 2730 STATE ROAD 16 STE 114
    ST AUGUSTINE, FL
    ZIP 32092
  • Phone: (904) 315-2989

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NPI Details

TANDA CARE, LLC is a home health in St Augustine, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. TANDA CARE, LLC NPI is 1114752920. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2730 STATE ROAD 16 STE 114
ST AUGUSTINE, FL
ZIP 32092-401
Phone: (904) 315-2989

The provider's authorized official is Ashley Rose Phillips .
The authorized official title is Owner and has the following contact phone number (904) 315-2989.

The enumeration date for this NPI number is 9/3/2024 and was last updated on 7/9/2025.

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 Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2251E00000XHome HealthYes

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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