Top Tier Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TOP TIER HOME CARE

Practice address

10 San Miguel Dr Apt H
Saint Charles, MO 63303-3268

Phone

(314) 379-3648

Fax

(636) 699-1415

NPI assigned

Feb 9, 2026

Organization subpart

No

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

Authorized official

Name

Gabrielle Guy

Title

Executive Director

Phone

(314) 379-3648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1063363679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAN MIGUEL DR APT H",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033268",
            "telephone_number": "314-379-3648",
            "fax_number": "636-699-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAN MIGUEL DR APT H",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033268",
            "telephone_number": "314-379-3648",
            "fax_number": "636-699-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP TIER HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-379-3648"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paras Tiwari, RPH
• TMS of Saint Charles LLC
• Nicole Tognoni, FNP
• Alan Tom, M.D.
• Joshua R Tonozzi, DPT
• Total Access Urgent Care, PC
• Total Access Urgent Care, PC
• Total Access Urgent Care, PC
• John Towe, RN
• Timothy James Towers, DC

• Home Health Agency in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.