MEDICARE: TIFFANI'S COMFORT CARE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1336937945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIFFANI'S COMFORT CARE

Provider Business Mailing Address
First Line	:	8816 AVEBURY DR APT H
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-3161
Country	:	US
Telephone Number	:	347-489-5837
Fax Number	:

Provider Business Practice Location Address
First Line	:	8816 AVEBURY DR APT H
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-3161
Country	:	US
Telephone Number	:	347-489-5837
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIFFANI NICHOLE WASHINGTON
Credential	:
Telephone Number	:	347-489-5837

Provider Enumeration Date	:	04/25/2025
Last Update Date	:	04/25/2025

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