Active NPI
Tiffany Healthcare, Inc.
Doing business as Louisburg Gardens
- Point of Service
- Louisburg, NC
National Provider Identifier
1629298328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- HAL035013
- Legal business name
- TIFFANY HEALTHCARE, INC.
- Doing business as
- Louisburg Gardens
- Practice address
- 844 Hwy 39 South
Louisburg, NC 27549 - Phone
- (252) 946-6617
- Fax
- (525) 946-2313
- NPI assigned
- Apr 26, 2007
- Last updated
- Aug 22, 2020
- 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 |
|---|---|---|---|---|
| Point of Service | 305S00000X | HAL035013 | NC | Primary |
Addresses
Primary practice location
844 Hwy 39 South
Louisburg, NC 27549
Mailing address
2294 Gallberry Rd
PO Box 1785
Washington, NC 27889-9178
Phone (252) 946-6617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804841 | Medicaid | NC |
Other names 1
- Louisburg Gardens
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.
-
dba Whispering Pines Family Care Home
- Assisted Living Facility (Mental Illness)
- Washington, NC
- NPI 1437378155
-
dba Washington Manor
- Assisted Living Facility
- Washington, NC
- NPI 1437480274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629298328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2294 GALLBERRY RD",
"address_2": "PO BOX 1785",
"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": "844 HWY 39 SOUTH",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "27549",
"telephone_number": "252-946-6617",
"fax_number": "525-946-2313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIFFANY HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"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": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "NC",
"license": "HAL035013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804841",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Louisburg Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Louisburg, NC
Sources for this page
- 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.