Active NPI
Tiffany Lynn Green
- In Home Supportive Care Agency
- Kansas City, MO
National Provider Identifier
1801435482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 111 W 10TH St Ste 207
Kansas City, MO 64105-1700 - Phone
- (913) 225-0565
- NPI assigned
- Dec 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | MO | Primary |
Addresses
Primary practice location
111 W 10TH St Ste 207
Kansas City, MO 64105-1700
Mailing address
111 W 10TH St Ste 207
Kansas City, MO 64105-1700
Phone (913) 225-0565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerment Circle, LLC | In Home Supportive Care | Current | Accepting new patients |
| Empowerment Circle LLC | In Home Supportive Care | Current | Accepting new patients |
Locations
111 W 10th St
Ste 207
Kansas City, MO 64105
Phone (913) 225-0565
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Kansas City, MO
- NPI 1750022711
-
- In Home Supportive Care Agency
- Kansas City, MO
- NPI 1649863150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1801435482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W 10TH ST STE 207",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051700",
"telephone_number": "913-225-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W 10TH ST STE 207",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051700",
"telephone_number": "913-225-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "TIFFANY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-31",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.