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Organization Active NPI

Tiffany Springs Rehabilitation & Health Care Center LLC

Doing business as Tiffany Springs Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • Kansas City, MO
National Provider Identifier
1972042190
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TIFFANY SPRINGS REHABILITATION & HEALTH CARE CENTER LLC
Doing business as
Tiffany Springs Rehabilitation & Health Care Center
Practice address
9191 N Ambassador Drive
Kansas City, MO 64154
Phone
(816) 491-6190
NPI assigned
Feb 21, 2017
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Joseph C Tutera
Title
Manager, Owner
Phone
(816) 444-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

9191 N Ambassador Drive
Kansas City, MO 64154

Mailing address

9191 N Ambassador Drive
Kansas City, MO 64154
Phone (816) 491-6190

Other names 1

  • TIFFANY SPRINGS REHABILITATION & HEALTH CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170831000825 MO Part A Provider - Skilled Nursing Facility 6305119009 Practice locations: Kansas City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972042190. Details of each certification follow.

Skilled nursing facility certification: CCN 265863

Legal name
TIFFANY SPRINGS REHABILITATION & HEALTH CARE CENTER LLC
Doing business as
TIFFANY SPRINGS REHABILITATION & HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 16, 2017
Last certification
Oct 4, 2024
Beds
120
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Oct 13, 2016 in MO
Enrollment address
9191 N Ambassador Drive
Kansas City, MO 64154
Nursing home name
TIFFANY SPRINGS REHABILITATION & HEALTH CARE CENTER
Affiliated entity
TUTERA SENIOR LIVING & HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tiffany Springs Rehabilitation & Health Care CenteCCN 265863 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 16, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.2 residents per day on average
Chain
Tutera Senior Living & Health Care25 facilities in the chain
Penalties (3 years)
2Fines totaling $48,152

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Mary Margaret Cunningham 2009 Irrv TR Organization, Kansas City, MO 5% Or Greater Direct Ownership Interest Oct 13, 2016 14.3%
Tutera Group, Inc Organization, Kansas City, MO For-profit 5% Or Greater Direct Ownership Interest Oct 13, 2016 5.4%
Tutera Investments, LLC Organization, Kansas City, MO LLC, For-profit Other Aug 30, 2002 6%
Randall Bloom Individual Operational/Managerial ControlCoo Oct 13, 2016 10%
Constace Marie Mendolia 2009 Irrv TR Organization, Kansas City, MO 5% Or Greater Direct Ownership Interest Oct 13, 2016 14.3%
Joseph C Tutera Individual 5% Or Greater Direct Ownership Interest Oct 13, 2016 15%
Operational/Managerial ControlManager Oct 13, 2016 100%
Other Oct 1, 2000 5%
Kiley a Brooks Individual Corporate OfficerVP Healthcare Accounting Jun 1, 2013 20%
Operational/Managerial ControlVP Healthcare Accounting Oct 13, 2016 10%
Walnut Creek Management Company LLC Organization, Kansas City, MO LLC, Management services company, For-profit Operational/Managerial Control Oct 13, 2016 20%

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 3

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": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1972042190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 N AMBASSADOR DRIVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "816-491-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 N AMBASSADOR DRIVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "816-491-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY SPRINGS REHABILITATION & HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER, OWNER",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIFFANY SPRINGS REHABILITATION & HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TIFFANY SPRINGS REHABILITATION & HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.