Individual ProviderTiophane TimahCase Manager/Care CoordinatorOther Service ProvidersPractice Address3831 Pennsylvania Ave SE, Washington, DC 20020-1309(202) 853-4879PECOS EnrollmentBased on the most recent information from CMS, provider Tiophane Timah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1528877719Provider TypeIndividualFull NameTimah, TiophaneGenderMaleSole ProprietorNoEnumeration Date1/2/2025Last Updated1/2/2025Contact InformationPractice LocationPractice Address3831 Pennsylvania Ave SE, Washington, DC 20020-1309Phone(202) 853-4879FaxUnlisted FaxMailing LocationMailing Address3831 Pennsylvania Ave SE, Washington, DC 20020-1309Phone(202) 853-4879FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer