Organization
TIFFANY'S HOMEMAKER AND COMPANION
Active
Other names
Tiffany's Homemaker And Companion
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MCKENNON (OWNER)
(904) 450-1430
Entity
Organization
Contact information
Practice address
11039 COLONIAL TAVERN LN, JACKSONVILLE, FL 32221-2123
(904) 450-1430
Mailing address
11039 COLONIAL TAVERN LN, JACKSONVILLE, FL 32221-2123
(904) 450-1430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021497100
—
FL
Enumeration date
10/22/2019
Last updated
03/28/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us