OrganizationActive
Tift County Board of Health D/B/A Diversified Enterprises
NPI 1033404702 · In Home Supportive Care Agency · Tifton, GA
Provider details
- NPI number
- 1033404702
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Theresa Durden, Web Portal Manager(229) 386-3122
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
192 Virginia Ave S
Suite 100
Tifton, GA 31794-8074
Phone: (229) 386-3122
Fax: (229) 386-7156
Street-level locationGet directions
Mailing address
192 Virginia Ave S
Tifton, GA 31794-8074
Registry dates
- Enumerated
- 2011-06-10
- Last updated
- 2011-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.