TIFFANY HEALTHCARE, INC. (NPI# 1629298328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629298328 |
| Entity Type | Organization |
| Organization Name | TIFFANY HEALTHCARE, INC. |
| Other Organization Name | LOUISBURG GARDENS |
| Practice Address |
844 Hwy 39 South Louisburg NC 27549 |
| Mailing Address |
2294 Gallberry Rd Po Box 1785 Washington NC 27889-9178 |
| Practice Telephone | 2529466617 |
| Practice Fax Number | 5259462313 |
| Mailing Telephone | 2529466617 |
| Mailing Fax Number | 2529462313 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS TIFFANY COLLETTE EVERETT (PRESIDENT) |
| Authorized Official Telephone | 2529466617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | HAL035013 | NC | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804841 | 05 |
| Other Name | Type Code |
|---|---|
| Louisburg Gardens | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437378155 | Tiffany Healthcare, Inc. | Assisted Living Facility | 3130 Market Street Ext, Washington, NC 27889-8127 | 2007-04-24 |
| 1437480274 | Tiffany Healthcare, Inc. | Assisted Living Facility | 609 W 2nd St, Washington, NC 27889-4806 | 2010-01-19 |
| Street Address |
844 HWY 39 SOUTH |
| City | LOUISBURG |
| State | NC |
| Zip Code | 27549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
| 1285065797 | Carey Wainwright | Counselor | 104 N. Main Street, Suite 200, Vision Behavioral Health Services, Louisburg, NC 27549 | 2013-12-09 |
| 1114366713 | Alston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 Schloss Road #b, Loiusburg, NC 27549 | 2013-06-18 |
| 1154760981 | Tony's Helping Hand | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32 Gayline Drive, Louisburg, NC 27549 | 2013-06-14 |
| 1689910192 | E Marie Buie | Counselor | 669 Sagamore, Louisburg, NC 27549 | 2013-01-02 |
| 1508158163 | Julie P Leonard | Pharmacist | 102 N. Bickett Blvd., Louisburg, NC 27549 | 2011-05-13 |
| 1508162678 | Franklin County Department of Social Services | Case Management | 107 Industrial Dr., Suite A, Louisburg, NC 27549 | 2011-02-07 |
| 1134352693 | Howard G Yee, Dmd Pa | Dentist | 311 South Bickett, Louisburg, NC 27549 | 2009-09-01 |
| 1679740203 | Stephen D Perdue | Physical Therapy Assistant | 2176 Nc Hwy 39 North, Louisburg, NC 27549 | 2008-05-13 |
| Find all providers in zip 27549 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126092 | Vax Mobile Nc LLC | Point of Service | 204 Crestmont Ridge Dr, Apex, NC 27523-7119 | 2020-05-22 |
| 1285190926 | Roshonda Mcfadden | Point of Service | 12 Winding Creek Cir Apt P, Durham, NC 27705-1541 | 2019-02-19 |
| 1437640448 | Kevin Lamont Lane | Point of Service | 7149 Jennings Rd Ne, Leland, NC 28451-9431 | 2018-05-24 |
| 1639624034 | Choices for Recovery, LLC | Point of Service | 200 Queens Rd Ste 102, Charlotte, NC 28204-3252 | 2016-08-16 |
| 1891164869 | Amy Cleckler | Point of Service | 809 North St, Durham, NC 27701-2210 | 2015-09-21 |
| 1760859193 | Triad Health Solutions | Point of Service | 6420 Rains Davis Rd, Kernersville, NC 27284-0127 | 2015-09-02 |
| 1215331525 | Saylor Physical Therapy Cornelius LLC | Point of Service | 19460 Old Jetton Rd, Suite 202, Cornelius, NC 28031-6456 | 2014-10-15 |
| 1316385438 | Lauren M. Grantham | Point of Service | 1807 E Walnut St, Goldsboro, NC 27530-5330 | 2013-06-11 |
| 1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
| 1467729855 | Bridging The Gap of North Carolina | Point of Service | 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056-6002 | 2011-11-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.