# TIFFANY'S HOMEMAKER AND COMPANION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tiffany's Homemaker And Companion
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205479342
- **Authorized official:** TIFFANY MCKENNON (OWNER)
- **Authorized official phone:** (904) 450-1430

## Contact information

- **Practice address:** 11039 COLONIAL TAVERN LN, JACKSONVILLE, FL 32221-2123
- **Practice address phone:** (904) 450-1430
- **Mailing address:** 11039 COLONIAL TAVERN LN, JACKSONVILLE, FL 32221-2123
- **Mailing address phone:** (904) 450-1430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 10/22/2019
- **Last updated:** 03/28/2022