TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES
NPI 1285928374
Nursing Care in Tifton, GA

Active since June 06, 2011
192 VIRGINIA AVE S STE 100, TIFTON, GA 31794(229) 386-3122(229) 386-7156 Get Directions Write a Review

NPPES record last updated: June 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tift County Board Of Health D/b/a Diversified Enterprises NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES (NPI 1285928374) is a healthcare organization registered as a nursing care in Tifton, Georgia and active in the NPI registry since June 2011. The organization lists Theresa Durden, Web Portal Manager, as its authorized official.

NPPES Registry Identity

NPI1285928374
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameTIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES
Location Address192 VIRGINIA AVE S STE 100Tifton, GA 31794-8000
Mailing Address192 Virginia Ave S Ste 100Tifton, GA 31794-8000 · (229) 386-3122 · Fax (229) 386-7156
Fax(229) 386-7156
Organization SubpartNo
Authorized OfficialTheresa DurdenWeb Portal Manager · (229) 386-3122
Enumeration DateJune 6, 2011
NPI 1285928374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License Licensed in GA · 000609771BN
Definition
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.
192 VIRGINIA AVE S STE 100, Tifton, GA 31794

Other Identifiers 1

Medicaid000609771BNGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training, Developmentally Disabled Services
192 VIRGINIA AVE S STE 100
TIFTON, GA 31794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tift County Board Of Health D/B/A Diversified Enterprises's NPI number?

The NPI number for Tift County Board Of Health D/B/A Diversified Enterprises is 1285928374. It was assigned to this organization in the NPPES registry on June 6, 2011.

Where is Tift County Board Of Health D/B/A Diversified Enterprises located?

Tift County Board Of Health D/B/A Diversified Enterprises is located at 192 Virginia Ave S Ste 100, Tifton, GA 31794. The listed phone number is (229) 386-3122.

What is Tift County Board Of Health D/B/A Diversified Enterprises's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Tift County Board Of Health D/B/A Diversified Enterprises was last updated on June 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.