Tiffany Healthcare, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

HAL007010 Issued in NC

Legal business name

TIFFANY HEALTHCARE, INC.

Practice address

3130 Market Street Ext
Washington, NC 27889-8127

Phone

(252) 948-0838

Fax

(252) 948-0838

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Miss Tiffany Collette Everett

Title

President

Phone

(252) 946-6617

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Whispering Pines Family Care Home Doing business as

Tax ID family

Tiffany Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tiffany Healthcare, Inc.

  • Assisted Living Facility
  • Washington, NC
  • NPI 1437480274
  NPD tax ID
• Tiffany Healthcare, Inc.

  • Point of Service
  • Louisburg, NC
  • NPI 1629298328
  NPD tax ID

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437378155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 GALLBERRY RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278899178",
            "telephone_number": "252-946-6617",
            "fax_number": "252-946-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 MARKET STREET EXT",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278898127",
            "telephone_number": "252-948-0838",
            "fax_number": "252-948-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "COLLETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-946-6617",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "HAL007010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803909",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whispering Pines Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Lea Thompson-Tucker, PA-C
• Jacqueline Sue Thompson, MD
• Troy Hue Thompson Jr., RPH
• Thrivewell Health and Wellness PLLC
• Tideland Mental Health Center
• Tiffany Healthcare, Inc.
• Carrie Amici Tingley, AGNP-C
• Amy Kirk Tinker, RN
• William W Tipton, MD
• Tranquil Waters

• Assisted Living Facility (Mental Illness) in Washington, NC
• Providers in Washington, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.