TIFFANY CARE CENTERS, INC (NPI# 1952507766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952507766 |
| Entity Type | Organization |
| Organization Name | TIFFANY CARE CENTERS, INC |
| Other Organization Name | TIFFANY IN HOME SERVICES |
| Practice Address |
1105 State St. Mound City MO 64470-0308 |
| Mailing Address |
1105 State St. Po Box 308 Mound City MO 64470-0308 |
| Practice Telephone | 6604423128 |
| Mailing Telephone | 6604423128 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-08-10 |
| Authorized Official Name | PAULA MILLER (CFO) |
| Authorized Official Telephone | 6604423128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| N | 374700000X | Technician | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374T00000X | Religious Nonmedical Nursing Personnel | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Tiffany In Home Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528162542 | Tiffany Care Centers, Inc | Chore Provider | 1105 State St, Mound City, MO 64470-7202 | 2006-09-11 |
| 1033142153 | Tiffany Care Centers, Inc | Skilled Nursing Facility | 470 Rainbow Dr, Rock Port, MO 64482-1641 | 2006-07-09 |
| 1013940154 | Tiffany Care Centers, Inc | Skilled Nursing Facility | 501 S. Monroe St., Box 19, Oregon, MO 64473-0019 | 2006-07-09 |
| 1144394313 | Tiffany Care Centers, Inc | Chore Provider | 1105 State St, Mound City, MO 64470-0308 | 2006-11-20 |
| 1477576759 | Tiffany Care Centers, Inc | Skilled Nursing Facility | 116 E Pratt St, Brookfield, MO 64628-1337 | 2006-07-26 |
| Street Address |
1105 STATE ST. |
| City | MOUND CITY |
| State | MO |
| Zip Code | 64470-0308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144394313 | Tiffany Care Centers, Inc | Chore Provider | 1105 State St, Mound City, MO 64470-0308 | 2006-11-20 |
| 1669022174 | Lauren G Dozier | Nurse Practitioner | 514 State St, Mound City, MO 64470-1145 | 2019-09-17 |
| 1396033072 | Dustin Charles Carpenter | Family Medicine | 514 State St, Mound City, MO 64470-1145 | 2011-07-15 |
| 1518174507 | Community Hospital Association | Clinic/Center | 514 State St, Mound City, MO 64470-1145 | 2007-05-17 |
| 1740259654 | M Rogers Inc & Subsidiary | Durable Medical Equipment & Medical Supplies | 607 State St, Mound City, MO 64470-1146 | 2006-03-14 |
| 1205383056 | Nancy Johnson | Pharmacist | 607 State St, Mound City, MO 64470-1146 | 2016-09-08 |
| 1174070239 | Lamoyne Dungan | Pharmacist | 607 State St, Mound City, MO 64470-1146 | 2016-09-07 |
| 1275574873 | M. Rogers, Inc. & Subsidiary | Pharmacy | 607 State St, Mound City, MO 64470-1146 | 2006-06-08 |
| 1578984027 | Rachel Sharp | Chiropractor | 105 W 6th St, Mound City, MO 64470-1160 | 2014-01-01 |
| 1164847935 | Mound City Chiropractic LLC | Chiropractor | 105 W 6th St, Mound City, MO 64470-1160 | 2014-03-03 |
| Find all providers in zip 64470 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043583818 | Luna Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 High St, Mound City, MO 64470-1315 | 2012-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUND CITY |
| Zip Code | 64470 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.