Active NPI
Tiffanys Adult Care Home
- Health Service Clinic/Center
- Garner, NC
National Provider Identifier
1689858185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- TIFFANYS ADULT CARE HOME
- Practice address
- 1139A Benson Rd
Garner, NC 27529-4649 - Phone
- (919) 772-3755
- NPI assigned
- Dec 20, 2007
- 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
- Ms. Helena B Jones
- Title
- Administrator
- Phone
- (919) 722-3755
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | FCH092035 | NC | |
| Health Service Clinic/Center | 261QH0100X | NC | Primary |
Addresses
Primary practice location
1139A Benson Rd
Garner, NC 27529-4649
Mailing address
PO Box 241
Tiffanys Adult Care Home
Garner, NC 27529-4649
Phone (919) 772-3755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804699 | Medicaid | NC |
Other names 1
- Tiffanys Family Care Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1689858185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241",
"address_2": "TIFFANYS ADULT CARE HOME",
"city": "GARNER",
"state": "NC",
"postal_code": "275294649",
"telephone_number": "919-772-3755",
"fax_number": "919-359-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139A BENSON RD",
"city": "GARNER",
"state": "NC",
"postal_code": "275294649",
"telephone_number": "919-772-3755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIFFANYS ADULT CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "HELENA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-722-3755",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NC",
"license": "FCH092035",
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804699",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tiffanys Family Care Home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.