TIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES
NPI 1457633695
Nursing Care in Tifton, GA

Active since September 14, 2011
192 VIRGINIA AVE S, SUITE 100, TIFTON, GA 31794(229) 386-3560(229) 386-7156 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: July 19, 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 1457633695) is a healthcare organization registered as a nursing care in Tifton, Georgia and active in the NPI registry since September 2011. The organization lists Theresa Durden, Web Portal Manager, as its authorized official.

NPPES Registry Identity

NPI1457633695
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameTIFT COUNTY BOARD OF HEALTH D/B/A DIVERSIFIED ENTERPRISES
Location Address192 VIRGINIA AVE S, SUITE 100Tifton, GA 31794-8074
Mailing Address192 Virginia Ave S, Suite 100Tifton, GA 31794-8074 · (229) 386-3560 · Fax (229) 386-7156
Fax(229) 386-7156
Organization SubpartNo
Authorized OfficialTheresa DurdenWeb Portal Manager · (229) 386-3122
Enumeration DateSeptember 14, 2011
NPI 1457633695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
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, Tifton, GA 31794

Other Identifiers 1

Medicaid000609771BLGA

Other Providers at the Same Location NPPES 20

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, SUITE 100
TIFTON, GA 31794
Day Training, Developmentally Disabled Services
192 VIRGINIA AVE S, SUITE 100
TIFTON, GA 31794
In Home Supportive Care
192 VIRGINIA AVE S, SUITE 100
TIFTON, GA 31794
In Home Supportive Care
192 VIRGINIA AVE S, SUITE 100
TIFTON, GA 31794
In Home Supportive Care
192 VIRGINIA AVE S, SUITE 100
TIFTON, GA 31794
In Home Supportive Care
192 VIRGINIA AVE S, SUITE 100
TIFTON, GA 31794
In Home Supportive Care
192 VIRGINIA AVE S, SUITE 100
TIFTON, GA 31794
In Home Supportive Care
192 VIRGINIA AVE S, SUITE 100
TIFTON, GA 31794

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457633695, enumerated as an "organization" on September 14, 2011.

The provider is located at 192 VIRGINIA AVE S SUITE 100 TIFTON, GA 31794 and the phone number is (229) 386-3560.

Nursing Care with taxonomy code 251J00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.