# TIFFANY CARE CENTERS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tiffany In Home Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528162542
- **Authorized official:** KIMBERLY R IRELAND (CEO)
- **Authorized official phone:** (660) 442-3128

## Contact information

- **Practice address:** 1105 STATE ST, MOUND CITY, MO 64470-7202
- **Practice address phone:** (660) 442-3128
- **Mailing address:** 1105 STATE ST, PO BOX 308, MOUND CITY, MO 64470-7202
- **Mailing address phone:** (660) 442-3128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | N/A | NULL | — |
| 163W00000X | Registered Nurse | N/A | — | — |
| 251J00000X | Nursing Care Agency | — | MO | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 372500000X | Chore Provider | N/A | NULL | — |
| 372500000X | Chore Provider | N/A | — | — |
| 372600000X | Adult Companion | N/A | NULL | — |
| 372600000X | Adult Companion | N/A | — | — |
| 373H00000X | Day Training/Habilitation Specialist | — | MO | — |
| 374700000X | Technician | N/A | NULL | — |
| 374700000X | Technician | N/A | — | — |
| 3747A0650X | Attendant Care Provider | N/A | NULL | — |
| 3747A0650X | Attendant Care Provider | N/A | — | — |
| 3747P1801X | Personal Care Attendant | N/A | NULL | — |
| 3747P1801X | Personal Care Attendant | N/A | — | — |
| 374T00000X | Religious Nonmedical Nursing Personnel | — | MO | — |
| 374U00000X | Home Health Aide | N/A | NULL | — |
| 374U00000X | Home Health Aide | N/A | — | — |
| 376G00000X | Nursing Home Administrator | N/A | NULL | — |
| 376G00000X | Nursing Home Administrator | N/A | — | — |
| 376J00000X | Homemaker | N/A | NULL | Yes |
| 376J00000X | Homemaker | N/A | — | Yes |
| 376K00000X | Nurse's Aide | N/A | NULL | — |
| 376K00000X | Nurse's Aide | N/A | — | — |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 07/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001438 | SOCIAL SVS BLOCK GRANT | MO |
| 05 | — | 263663403 | — | MO |