Organization Active NPI

Tiffanys Adult Care Home

  • Health Service Clinic/Center
  • Garner, NC
National Provider Identifier
1689858185
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Jul 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7804699MedicaidNC

Other names 1

  • Tiffanys Family Care Home Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.