Provider Demographics
NPI:1396249462
Name:TIFFCO CARE2 LLC DBA VISITING ANGELS HOME HEALTHCARE
Entity type:Organization
Organization Name:TIFFCO CARE2 LLC DBA VISITING ANGELS HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-720-7223
Mailing Address - Street 1:3197 S US HIGHWAY 231
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-8893
Mailing Address - Country:US
Mailing Address - Phone:765-301-9074
Mailing Address - Fax:765-848-1046
Practice Address - Street 1:3197 S US HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-8893
Practice Address - Country:US
Practice Address - Phone:765-301-9074
Practice Address - Fax:765-848-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17-014225-2251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health