Organization Active NPI

Mound City SNF Operations, LLC

Doing business as Tiffany Heights

  • Skilled Nursing Facility
  • Mound City, MO
National Provider Identifier
1891681334
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MOUND CITY SNF OPERATIONS, LLC
Doing business as
Tiffany Heights
Practice address
1531 Nebraska St
Mound City, MO 64470-1610
Phone
(660) 442-3146
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Brian Ramos
Title
Manager
Phone
(660) 442-3146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1531 Nebraska St
Mound City, MO 64470-1610

Mailing address

2825 E Cottonwood Pkwy
Salt Lake City, UT 84121-7055

Other names 1

  • Tiffany Heights Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250818003874 MO Part A Provider - Skilled Nursing Facility 9931608866 Practice locations: Mound City, MO

Skilled nursing facility certification: CCN 265746

Legal name
MOUND CITY SNF OPERATIONS LLC
Doing business as
TIFFANY HEIGHTS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 2002
Last certification
Aug 29, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Tide Health Group
Most recent change of ownership
Jul 1, 2025
Organization structure
LLCProprietary
Enrollment address
1531 Nebraska St
Mound City, MO 64470-1610
Nursing home name
TIFFANY HEIGHTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tiffany HeightsCCN 265746 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6039.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John T Symonds Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Strawberry Fields Realty LP Organization, Fort Lauderdale, FL Holding company, For-profit, Owned by another organization or individual General Partnership Interest Jul 1, 2025 77%
Daniel Thuet Individual Indirect Ownership Interest Jul 1, 2025 22.5%
Strawberry Fields Reit Inc Organization, Fort Lauderdale, FL Corporation, Holding company Adp of the SNF Mar 26, 2026
Brian J Ramos Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 62.5%
Lucy Gaytan Individual Indirect Ownership Interest Jul 1, 2025 1%
Brooke Hixson Individual Indirect Ownership Interest Jul 1, 2025 1%
Tide Health Group LLC Organization, Salt Lake City, UT LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Jul 1, 2025 100%
Strawberry Fields Reit LTD Organization, Fort Lauderdale, FL LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jul 1, 2025 100%
Jamie Nauman Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Leland E Bruce Individual Indirect Ownership Interest Jul 1, 2025 13%
1531 Nebraska Street LLC Organization, South Bend, IN LLC, For-profit Adp of the SNF Jul 1, 2025
Mound City SNF Operations LLC Organization, Mound City, MO LLC, For-profit Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Direct Ownership Interest Jul 1, 2025 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1891681334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E COTTONWOOD PKWY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841217055"
        },
        {
            "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": "MOUND CITY SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "660-442-3146"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mound City, MO

Sources for this page

Verify at the official NPI Registry.