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TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES NPI 1457633695


NPI Information

NPI: 1457633695
Provider Name: TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
192 VIRGINIA AVE S
SUITE 100
TIFTON, GA
ZIP 31794
Phone: (229) 386-3560
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TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES is a nursing care in Tifton, GA. The provider is 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. TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES NPI is 1457633695. The provider is registered as an organization entity type.

The provider's business location address is:

192 VIRGINIA AVE S
SUITE 100
TIFTON, GA
ZIP 31794-074
Phone: (229) 386-3560
Fax: (229) 386-7156

The provider's authorized official is Theresa Durden .
The authorized official title is Web Portal Manager and has the following contact phone number (229) 386-3122.

The enumeration date for this NPI number is 9/14/2011 and was last updated on 9/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000609771BLMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.