Tiffany Care Centers, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032342 Issued in MO

Legal business name

TIFFANY CARE CENTERS, INC

Doing business as

Oregon Care Center

Practice address

501 S. Monroe St.
Box 19
Oregon, MO 64473-0019

Phone

(660) 446-3355

Fax

(660) 446-3690

NPI assigned

Jul 9, 2006

Last updated

Dec 9, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carmen Cotton

Title

Administrator

Phone

(660) 446-3355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OREGON CARE CENTER Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1013940154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S. MONROE ST.",
            "address_2": "BOX 19",
            "city": "OREGON",
            "state": "MO",
            "postal_code": "644730019",
            "telephone_number": "660-446-3355",
            "fax_number": "660-446-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S. MONROE ST.",
            "address_2": "BOX 19",
            "city": "OREGON",
            "state": "MO",
            "postal_code": "644730019",
            "telephone_number": "660-446-3355",
            "fax_number": "660-446-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY CARE CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-446-3355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102307303",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OREGON CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Kurtz
• Oregon Healthcare LLC (Oregon Care Center)
• Oregon SNF Operations, LLC (Oregon Care Center)
• Jaden Troy Phelan
• South Holt R1
• Lacy Jaye Waggoner, LMT

• Skilled Nursing Facility in Oregon, MO
• Providers in Oregon, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.