Active NPI
Tiffany Healthcare, Inc.
- Assisted Living Facility
- Washington, NC
National Provider Identifier
1437480274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- HAL-007-008
- Legal business name
- TIFFANY HEALTHCARE, INC.
- Practice address
- 609 W 2ND St
Washington, NC 27889-4806 - Phone
- (252) 946-1701
- Fax
- (252) 946-1701
- NPI assigned
- Jan 19, 2010
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL-007-008 | NC | Primary |
Addresses
Primary practice location
609 W 2ND St
Washington, NC 27889-4806
Mailing address
2294 Gallberry Rd
Washington, NC 27889-9178
Phone (252) 946-6617
Other names 1
- Washington Manor
National Provider Directory
National Provider Directory- Tax ID family
- Tiffany Healthcare Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- Washington, NC
- NPI 1437378155
-
- Point of Service
- Louisburg, NC
- NPI 1629298328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263859200000",
"number": "1437480274",
"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": "609 W 2ND ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278894806",
"telephone_number": "252-946-1701",
"fax_number": "252-946-1701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIFFANY HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"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": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "HAL-007-008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Washington Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.