Provider Demographics
NPI:1518086412
Name:TIPTON CARE FACILITIES, INC.
Entity Type:Organization
Organization Name:TIPTON CARE FACILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-859-5604
Mailing Address - Street 1:1363 WARRIOR DR
Mailing Address - Street 2:
Mailing Address - City:TRYON
Mailing Address - State:NC
Mailing Address - Zip Code:28782-4564
Mailing Address - Country:US
Mailing Address - Phone:828-859-5604
Mailing Address - Fax:828-286-2080
Practice Address - Street 1:3357 LYNN ROAD
Practice Address - Street 2:
Practice Address - City:TRYON
Practice Address - State:NC
Practice Address - Zip Code:28782-4564
Practice Address - Country:US
Practice Address - Phone:828-859-6182
Practice Address - Fax:828-859-5071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL075002311ZA0620X
NCFCL075004311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7801214Medicaid
NC7801215Medicaid