Organization
TIFFANY CARE CENTERS, INC
Active
Other names
Tiffany In Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY R IRELAND (CEO)
(660) 442-3128
Entity
Organization
Contact information
Practice address
1105 STATE ST, MOUND CITY, MO 64470-7202
(660) 442-3128
Mailing address
1105 STATE ST, PO BOX 308, MOUND CITY, MO 64470-7202
(660) 442-3128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N/A
—
251J00000X
Nursing Care Agency
—
MO
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
N/A
—
372600000X
Adult Companion
N/A
—
373H00000X
Day Training/Habilitation Specialist
—
MO
374700000X
Technician
N/A
—
3747A0650X
Attendant Care Provider
N/A
—
3747P1801X
Personal Care Attendant
N/A
—
374T00000X
Religious Nonmedical Nursing Personnel
—
MO
374U00000X
Home Health Aide
N/A
—
376G00000X
Nursing Home Administrator
N/A
—
376J00000X
Homemaker
Primary
N/A
—
376K00000X
Nurse's Aide
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001438
SOCIAL SVS BLOCK GRANT
MO
05
—
263663403
—
MO
Enumeration date
09/11/2006
Last updated
07/22/2016
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