Tiffany Johnson LLC Gingerbread House

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TIFFANY JOHNSON LLC GINGERBREAD HOUSE

Practice address

1906 N 35TH St
Milwaukee, WI 53208-1923

Phone

(414) 509-5097

Fax

(414) 296-0057

NPI assigned

May 5, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Johnson

Title

Ceo

Phone

(404) 804-0311

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1235928219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 N 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081923",
            "telephone_number": "414-509-5097",
            "fax_number": "414-296-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 N 35TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081923",
            "telephone_number": "414-509-5097",
            "fax_number": "414-296-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY JOHNSON LLC GINGERBREAD HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-804-0311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ticknor, MD
• Mikayla Tidemann, LPC
• Laura Marie Tidwell, APNP
• Michael Jon Tierney, OTA
• Deborah Kay Tietjen, FNP
• Kathryn Tiffany
• Kathryn Tighe, MD
• Sara Tikalsky, APSW
• Nebiyu Abera Tilahun, MD
• Blair Leigh Tilkens, DO

• Assisted Living Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.