Organization Active NPI

Tiffany Healthcare, Inc.

  • Assisted Living Facility
  • Washington, NC
National Provider Identifier
1437480274
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-007-008 Issued in NC
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

Updated by the provider on Jan 19, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
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.

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.

Verify at the official NPI Registry.