TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES (NPI# 1831483924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831483924 |
| 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 | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000609771AH | 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 |
| 1285928374 | Tift County Board of Health D/b/a Diversified Enterprises | Nursing Care | 192 Virginia Ave S Ste 100, Tifton, GA 31794-8000 | 2011-06-06 |
| 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 |
| Street Address |
192 VIRGINIA AVE S STE 100 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285928374 | Tift County Board of Health D/b/a Diversified Enterprises | Nursing Care | 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 | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1659666303 | 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1225643653 | Auesome Achiever LLC | Day Training, Developmentally Disabled Services | 601 Alcovy St, Monroe, GA 30655-2145 | 2020-09-11 |
| 1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
| 1548870363 | Heart Helping Hands, LLC | Day Training, Developmentally Disabled Services | 1919 Singer Way, Lithonia, GA 30058-5578 | 2020-08-06 |
| 1073121646 | Jo Anne Ragsdale | Day Training, Developmentally Disabled Services | 4916 Lake Park Ln, Acworth, GA 30101-6253 | 2020-07-20 |
| 1447877683 | Jeremy's Place Inc. | Day Training, Developmentally Disabled Services | 4910 Jonesboro Rd Ste 201, Union City, GA 30291-2087 | 2020-07-04 |
| 1457970626 | The J&r Group Ga I Nc. | Day Training, Developmentally Disabled Services | 1910 Wood Valley Rd, Macon, GA 31211-1619 | 2020-04-08 |
| 1497307425 | Bobby Dodd Institute | Day Training, Developmentally Disabled Services | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2019-07-10 |
| 1619537453 | Cherryl Miller | Day Training, Developmentally Disabled Services | 1499 Ravenel Rd, Conley, GA 30288-2226 | 2019-06-14 |
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 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.