Active NPI
Tiffany Harris
- Adult Companion
- Seffner, FL
National Provider Identifier
1104331792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 23494
- Practice address
- 612 Calhoun Ave
Seffner, FL 33584-3617 - Phone
- (813) 473-9510
- Fax
- (813) 435-3246
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | |||
| Respite Care | 385H00000X | |||
| Adult Companion | 372600000X | 23494 | FL | Primary |
Addresses
Primary practice location
612 Calhoun Ave
Seffner, FL 33584-3617
Mailing address
PO Box 1771
Seffner, FL 33583-1771
Phone (813) 473-9510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-5660279 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23494 | FL | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Helping Hands LLC | Adult Companion | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Companion
- Seffner, FL
- NPI 1710493028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1104331792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1771",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335831771",
"telephone_number": "813-473-9510",
"fax_number": "813-435-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 CALHOUN AVE",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335843617",
"telephone_number": "813-473-9510",
"fax_number": "813-435-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "23494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-5660279",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seffner, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.