Healthcare Provider Details

I. General information

NPI: 1487599114
Provider Name (Legal Business Name): TIFFANYS PRIVATE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W WIMER ST
KNOB NOSTER MO
65336-1255
US

IV. Provider business mailing address

205 W WIMER ST
KNOB NOSTER MO
65336-1255
US

V. Phone/Fax

Practice location:
  • Phone: 660-233-2213
  • Fax:
Mailing address:
  • Phone: 660-233-2213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY DANIELLE PIPER
Title or Position: OWNER
Credential: BSW
Phone: 660-233-2213