TENERIFE LLC NPI 1306586763

NPI Information

NPI: 1306586763
Provider Name: TENERIFE LLC
Classification: Clinic/Center - 261QD1600X
Specialization: Developmental Disabilities
Entity Type: Organization
Doing Business As: ZINNIA LIFE CARE
Address: 3 CORBETT WAY
EATONTOWN, NJ
ZIP 07724
Phone: (657) 304-0103

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NPI Details

TENERIFE LLC is a developmental disabilities clinic center in Eatontown, NJ. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). TENERIFE LLC NPI is 1306586763. The provider is registered as an organization entity type.
The provider Is Doing Business As Zinnia Life Care.

The provider's business location address is:

3 CORBETT WAY
EATONTOWN, NJ
ZIP 07724-283
Phone: (657) 304-0103

The provider's authorized official is Gilbert Yates .
The authorized official title is Contract Manager and has the following contact phone number (877) 262-7803.

The enumeration date for this NPI number is 3/31/2022 and was last updated on 10/1/2024.

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	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	Yes
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
4	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No

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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