Tiffany Care Centers, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031925 Issued in MO

Legal business name

TIFFANY CARE CENTERS, INC

Practice address

116 E Pratt St
Brookfield, MO 64628-1337

Phone

(660) 258-7402

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Tammy Henderson

Title

Administrator

Phone

(660) 258-7402

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McLARNEY MANOR Doing business as

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1477576759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646280129",
            "telephone_number": "660-258-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E PRATT ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646281337",
            "telephone_number": "660-258-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY CARE CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-258-7402"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101491108",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLARNEY MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sloan Eyecare Center L.L.C
• Scott Stephen Spencer, R.PH.
• Maria Louise Taylor
• Duane A Thompson, O.D.
• Tiffany Care Centers
• Jerry L Wait, DO
• Wal-Mart Stores East LP
• Brent Everett Watson, D.C
• Christopher Michael Waugh, PHARM.D.
• Nancy Ann Williams, D.O.

• All providers in Brookfield, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.