Tiffany Care Centers, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

035785 Issued in MO

Legal business name

TIFFANY CARE CENTERS, INC.

Doing business as

Tiffany Heights

Practice address

1531 Nebraska St
Mound City, MO 64470-1610

Phone

(660) 442-3146

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Tammy Yocum

Title

Administrator

Phone

(660) 442-3146

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TIFFANY HEIGHTS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Janene McQuinn, COTA/L

  • Occupational Therapy Assistant
  • Mound City, MO
  • NPI 1497013924
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1558394668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644700308",
            "telephone_number": "660-442-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 NEBRASKA ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644701610",
            "telephone_number": "660-442-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "YOCUM",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-442-3146"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "035785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101496909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIFFANY HEIGHTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Tharp
• Paul Thomas
• Tiffany Care Centers, Inc (Tiffany In Home Services)
• Tiffany Care Centers, Inc (Tiffany In Home Services)
• Tiffany Care Centers, Inc (Tiffany In Home Services)
• Tiffany Healthcare LLC (Tiffany Heights)
• Megan Wallace

• Skilled Nursing Facility in Mound City, MO
• Providers in Mound City, 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 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.