COMMUNITY CARE CENTERS, INC. (NPI# 1225035702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225035702 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE CENTERS, INC. |
| Practice Address |
312 Solley Dr Rear Ballwin MO 63021-5248 |
| Practice Telephone | 6363943000 |
| Practice Fax Number | 6363947713 |
| Mailing Telephone | 6363943000 |
| Mailing Fax Number | 6363947713 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES GIARDINA (PRESIDENT) |
| Authorized Official Telephone | 6363943000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
0231250001 | MO | Suppliers |
| Street Address |
312 SOLLEY DR REAR |
| City | BALLWIN |
| State | MO |
| Zip Code | 63021-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478665 | West County Care Center, Inc. | Skilled Nursing Facility | 312 Solley Dr, Ballwin, MO 63021-5248 | 2005-06-23 |
| 1356841571 | Kristin Myers | Speech-Language Pathologist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2018-02-14 |
| 1417373291 | Tiffany Ice | Specialist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2014-03-17 |
| 1750544177 | Laura Jeep Dougherty | Speech-Language Pathologist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2008-07-07 |
| 1871791921 | Maryjane Amad | Physical Therapy Assistant | 312 Solley Dr, Ballwin, MO 63021-5248 | 2007-07-10 |
| 1861698938 | Amy Marie Parker | Occupational Therapist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2007-06-25 |
| 1114122843 | Judith M Kaufman | Occupational Therapy Assistant | 312 Solley Dr, Ballwin, MO 63021-5248 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518465533 | Missouri Med LLC | Durable Medical Equipment & Medical Supplies | 121 S Broadview St, Units 11and 12, Cape Girardeau, MO 63703-5760 | 2018-01-24 |
| 1083005375 | Oms Rehab, LLC | Durable Medical Equipment & Medical Supplies | 9678 Marion Ridge Dr, Kansas City, MO 64137 | 2015-02-09 |
| 1154695716 | Medical Equipment Inspection & Repair | Durable Medical Equipment & Medical Supplies | 122 East Washington Ave, Ava, MO 65608 | 2012-02-29 |
| 1245318252 | 50-plus Ltc Pharmacy | Durable Medical Equipment & Medical Supplies | 209 1/2 W Lexington Ave, Independence, MO 64050-3709 | 2006-11-01 |
| 1205917770 | Health Care Management | Durable Medical Equipment & Medical Supplies | 765 Weber Rd, Farmington, MO 63640-3318 | 2006-10-18 |
| 1770528986 | Mission Lake Convalescent Center Inc. | Durable Medical Equipment & Medical Supplies | 12110 Holmes Rd, Kansas City, MO 64145-1707 | 2006-06-19 |
| 1972924439 | Red Cross Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 1000 N Jesse James Rd, Excelsior Springs, MO 64024-1244 | 2013-12-30 |
| 1942440136 | Palmco, Inc. | Durable Medical Equipment & Medical Supplies | 609 Locust St, Chillicothe, MO 64601-2250 | 2009-02-27 |
| 1164689113 | C & C Discount Drug | Durable Medical Equipment & Medical Supplies | 401 Wollard Blvd, Richmond, MO 64085-1975 | 2008-05-19 |
| 1508990466 | Advantage Medical Equipment and Supplies Inc | Durable Medical Equipment & Medical Supplies | 209 N Church St, Fayette, MO 65248-1403 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.