Provider Demographics
NPI:1174962070
Name:LORENE TENDER CARE, INC.
Entity type:Organization
Organization Name:LORENE TENDER CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-303-8556
Mailing Address - Street 1:288 EAST LN
Mailing Address - Street 2:
Mailing Address - City:CENTER HILL
Mailing Address - State:FL
Mailing Address - Zip Code:33514-4010
Mailing Address - Country:US
Mailing Address - Phone:352-303-8556
Mailing Address - Fax:352-793-1219
Practice Address - Street 1:288 EAST LN
Practice Address - Street 2:
Practice Address - City:CENTER HILL
Practice Address - State:FL
Practice Address - Zip Code:33514-4010
Practice Address - Country:US
Practice Address - Phone:352-303-8556
Practice Address - Fax:352-793-1219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232652253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002861900Medicaid