Individual provider · Type 1 NPI
Tamara Grigaltchik
Adult Care Home Facility · North Port, FL
NPI number
1265762017
Active
Practice location
12105 Madrid Ave
North Port, FL 34287-1123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6906380 (FL) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in North Port
About NPI 1265762017
Tamara Grigaltchik's National Provider Identifier is 1265762017, issued on Dec 29, 2009. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in North Port, FL. The record was last updated on Sep 23, 2026.