TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES (NPI# 1285928374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285928374 |
| Entity Type | Organization |
| Organization Name | TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES |
| Practice Address |
192 Virginia Ave S Ste 100 Tifton GA 31794-8000 |
| Practice Telephone | 2293863122 |
| Practice Fax Number | 2293867156 |
| Mailing Telephone | 2293863122 |
| Mailing Fax Number | 2293867156 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |
| Authorized Official Name | THERESA DURDEN (WEB PORTAL MANAGER) |
| Authorized Official Telephone | 2293863122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 000609771BN | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000609771BN | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902191653 | Tift County Board of Health D/b/a Diversified Enterprises | In Home Supportive Care | 192 S. Virginia Ave., Suite 100, Tifton, GA 31794 | 2011-06-10 |
| 1134188634 | Tift County Board of Health D/b/a Diversified Enterprises | Day Training, Developmentally Disabled Services | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2006-03-22 |
| 1104190222 | Tift County Board of Health D/b/a Diversified Enterprises | Day Training, Developmentally Disabled Services | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2012-03-07 |
| 1457633695 | Tift County Board of Health D/b/a Diversified Enterprises | Nursing Care | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2011-09-14 |
| 1972898609 | Tift County Board of Health D/b/a Diversified Enterprises | Day Training, Developmentally Disabled Services | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2011-06-10 |
| 1033404702 | Tift County Board of Health D/b/a Diversified Enterprises | In Home Supportive Care | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2011-06-10 |
| 1083909766 | Tift County Board of Health D/b/a Diversified Enterprises | In Home Supportive Care | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2011-06-10 |
| 1346535028 | Tift County Board of Health D/b/a Diversified Enterprises | In Home Supportive Care | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2011-06-10 |
| 1033404710 | Tift County Board of Health D/b/a Diversified Enterprises | In Home Supportive Care | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2011-06-10 |
| 1902191679 | Tift County Board of Health D/b/a Diversified Enterprises | In Home Supportive Care | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2011-06-10 |
| Street Address |
192 VIRGINIA AVE S STE 100 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831483924 | Tift County Board of Health D/b/a Diversified Enterprises | Day Training, Developmentally Disabled Services | 192 Virginia Ave S Ste 100, Tifton, GA 31794-8000 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457633695 | Tift County Board of Health D/b/a Diversified Enterprises | Nursing Care | 192 Virginia Ave S, Suite 100, Tifton, GA 31794-8074 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800115 | Recarlo King | Nursing Care | 1863 Clay Rd Sw, Mableton, GA 30126-1100 | 2020-10-27 |
| 1205435575 | Angelic Touch Cares, LLC | Nursing Care | 1705 Bertram Ln Sw, Marietta, GA 30008-4141 | 2020-10-19 |
| 1730787136 | Lucienne Home Care LLC | Nursing Care | 2407 Hi Roc Rd Ne, Conyers, GA 30012-2541 | 2020-10-16 |
| 1609482793 | Express Yourself, LLC | Nursing Care | 5141 Wellsley Bnd, Alpharetta, GA 30005-5067 | 2020-09-23 |
| 1952917106 | Chosen Healthcare Services, LLC | Nursing Care | 818 Panola Rd, Ellenwood, GA 30294-3034 | 2020-09-22 |
| 1578179313 | Standard Homecare of Augusta,llc | Nursing Care | 4583 Coldwater St, Grovetown, GA 30813-4065 | 2020-09-17 |
| 1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
| 1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
| 1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
| 1235741489 | Saegcyhealthcare | Nursing Care | 1301 Westwood Dr Apt G, Albany, GA 31721-6237 | 2020-08-19 |
| 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.