TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES (NPI# 1902191653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902191653 |
| Entity Type | Organization |
| Organization Name | TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES |
| Practice Address |
192 S. Virginia Ave. Suite 100 Tifton GA 31794 |
| Practice Telephone | 2293863122 |
| Practice Fax Number | 2293867156 |
| Mailing Telephone | 2293863122 |
| Mailing Fax Number | 2293867156 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |
| 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 | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000609771AT | 05 |
| 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 |
| 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 S. VIRGINIA AVE. SUITE 100 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794 |
| 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 | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1508151283 | 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 |
| 1225323900 | 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 |
| 1003101759 | 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 |
| 1790070472 | 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 |
| 1962797647 | 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 |
| Find all providers in TIFTON | ||||
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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.