Provider Demographics
NPI:1841901154
Name:HOLMES, TIFFANY C (MED)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:C
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2192 PEBBLE CREEK DR APT 204E
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-3013
Mailing Address - Country:US
Mailing Address - Phone:330-391-2881
Mailing Address - Fax:
Practice Address - Street 1:2192 PEBBLE CREEK DR APT 204E
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-3013
Practice Address - Country:US
Practice Address - Phone:330-391-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-07
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No385H00000XRespite Care FacilityRespite Care