MEDICARE: TIFFANYS COMPASSIONATE HOMECARE LLC

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
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1477420214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIFFANYS COMPASSIONATE HOMECARE LLC

Provider Business Mailing Address
First Line	:	4926 C ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-4311
Country	:	US
Telephone Number	:	215-626-1986
Fax Number	:

Provider Business Practice Location Address
First Line	:	4926 C ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-4311
Country	:	US
Telephone Number	:	215-626-1986
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TIFFANY ALLEN
Credential	:
Telephone Number	:	215-626-1986

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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