Provider Demographics
NPI:1831388818
Name:TIFFIANE'S HOME HEALTH CARE AGENCY
Entity type:Organization
Organization Name:TIFFIANE'S HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TIFFIANE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:12 YEARS EXPERIENCE
Authorized Official - Phone:313-685-6667
Mailing Address - Street 1:15477 TROESTER
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205
Mailing Address - Country:US
Mailing Address - Phone:313-685-6667
Mailing Address - Fax:
Practice Address - Street 1:15477 TROESTER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-3566
Practice Address - Country:US
Practice Address - Phone:313-685-6667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TIFFIANE'S HOME HEALTH CARE ABENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-16
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI238279490395251E00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health