TIFFANIE MANOR FOR YOUNG ADULTS (NPI# 1770003535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770003535 |
| Entity Type | Organization |
| Organization Name | TIFFANIE MANOR FOR YOUNG ADULTS |
| Practice Address |
115 N Jefferson St Richmond VA 23220-5021 |
| Mailing Address |
Po Box 4685 Richmond VA 23220-8685 |
| Practice Telephone | 8046486924 |
| Practice Fax Number | 8046443649 |
| Mailing Telephone | 8046486924 |
| Mailing Fax Number | 8046443649 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Authorized Official Name | JOSEPHINE GATLING (ADMINISTRATOR) |
| Authorized Official Telephone | 8046486924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
VA | Nursing & Custodial Care Facilities |
| Street Address |
115 N JEFFERSON ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720489115 | Assembly of Senior Citizens Living Home Facility, LLC | Assisted Living Facility | 8822 Chaco Hill Ln, Richmond, TX 77407-5021 | 2014-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215461 | Pinnacle Community Services | Assisted Living Facility | 9001 Weems Rd, Manassas, VA 20110-4962 | 2019-03-25 |
| 1154847382 | Jeremy Scott Leach | Assisted Living Facility | 913 Bull Run, Staunton, VA 24401-1987 | 2017-08-18 |
| 1427588227 | Mental Wellness Residential | Assisted Living Facility | 1420 Spruce Street Extrension, Martinsville, VA 24412 | 2017-06-14 |
| 1588018071 | Arlington Voa Alr Operating, Inc. | Assisted Living Facility | 2000 5th St S, Arlington, VA 22204-1902 | 2016-04-20 |
| 1629476650 | God's Missing Angel's LLC | Assisted Living Facility | 301 Croft Xing, Chesapeake, VA 23320-7006 | 2014-12-08 |
| 1699941294 | Living Waters - Timberville | Assisted Living Facility | 379 N Main St, Timberville, VA 22853-9319 | 2008-05-02 |
| 1518133115 | Living Waters Care of Staunton | Assisted Living Facility | 403 N Coalter St, Staunton, VA 24401-3464 | 2008-05-02 |
| 1154501534 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 5100 Leesburg Pike, Suite 302, Alexandria, VA 22302-1000 | 2007-11-14 |
| 1881813517 | Smith's Home for Adults | Assisted Living Facility | 16069 Martinsville Hwy, Axton, VA 24054-1973 | 2007-04-24 |
| 1548879729 | The Ataveus Cash Legacy Foundation | Assisted Living Facility | 8527 Orcutt Ave, Newport News, VA 23605-1417 | 2020-07-23 |
| 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.