MEDICARE: TIFFANIE M HENRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790064111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANIE M HENRY

Provider Business Mailing Address
First Line	:	55417 MAPLE HTS APT REAR
Second Line	:
City	:	BRIDGEPORT
State	:	OH
Zip	:	43912-1524
Country	:	US
Telephone Number	:	740-484-9282
Fax Number	:

Provider Business Practice Location Address
First Line	:	55417 MAPLE HTS APT REAR
Second Line	:
City	:	BRIDGEPORT
State	:	OH
Zip	:	43912-1524
Country	:	US
Telephone Number	:	740-484-9282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2011
Last Update Date	:	12/27/2023

Similar Medicare Providers

1538883087 — MR. SHAWN M HENRY
Practice Location Address:

55417 MAPLE HTS APT REAR
BRIDGEPORT, OH
43912-1524

Practice Phone: 740-312-6417
Practice Fax:

1366235541 — SANDRA CONLEY
Practice Location Address:

226 FRONT ST
BRIDGEPORT, WV
26330-1524

Practice Phone: 304-629-9080
Practice Fax:

1043163900 — EAST CENTRAL OHIO EDUCATIONAL SERVICE CENTER
Practice Location Address:

55505 NATIONAL RD
BRIDGEPORT, OH
43912-1538

Practice Phone: 740-695-9773
Practice Fax:

1831193366 — ADVANCED HOME HEALTH, INC.
Practice Location Address:

867 NATIONAL RD
BRIDGEPORT, OH
43912-1464

Practice Phone: 740-699-7007
Practice Fax: 740-699-7006

1497707491 — BROOKSIDE VOLUNTEER FIRE DEPARTMENT
Practice Location Address:

875 NATIONAL RD
BRIDGEPORT, OH
43912-1464

Practice Phone: 740-635-1997
Practice Fax:

1487609558 — KEITH A POOLE DO
Practice Location Address:

55741 NATIONAL ROAD
BRIDGEPORT, OH
43912

Practice Phone: 740-635-4572
Practice Fax: 740-635-4575

Directions to “ TIFFANIE M HENRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.