Individual provider Active NPI

Tiffany Carrothers, RT(N)

  • In Home Supportive Care Agency
  • Henderson, NV
National Provider Identifier
1184023798
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
3000 Bicentennial Pkwy
Henderson, NV 89044-0519
Phone
(773) 419-0068
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Home Health Aide 374U00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3000 Bicentennial Pkwy
Henderson, NV 89044-0519

Mailing address

3000 Bicentennial Pkwy
Henderson, NV 89044-0519
Phone (773) 419-0068

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)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1184023798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BICENTENNIAL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440519",
            "telephone_number": "773-419-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BICENTENNIAL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440519",
            "telephone_number": "773-419-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROTHERS",
        "first_name": "TIFFANY",
        "credential": "RT(N)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.