COMMUNITY CARE CENTER OF MASCOUTAH, INC. (NPI# 1437156965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437156965 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE CENTER OF MASCOUTAH, INC. |
| Other Organization Name | MAR-KA NURSING HOME |
| Practice Address |
201 S 10th St Mascoutah IL 62258-1736 |
| Mailing Address |
312 Solley Dr Ballwin MO 63021-5248 |
| Practice Telephone | 6185668000 |
| Practice Fax Number | 6185662884 |
| Mailing Telephone | 6363943000 |
| Mailing Fax Number | 6363947713 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-08-14 |
| 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 | 314000000X | Skilled Nursing Facility | 0031740 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Mar-Ka Nursing Home | Doing Business As Name - Organization |
| Street Address |
201 S 10TH ST |
| City | MASCOUTAH |
| State | IL |
| Zip Code | 62258-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386932028 | Kelly M Whitaker | Nurse Practitioner | 201 S 10th St, Mascoutah, IL 62258-1736 | 2011-07-15 |
| 1083861256 | Tasha Kenae Smith | Occupational Therapist | 201 S 10th St, Mascoutah, IL 62258-1736 | 2008-08-19 |
| 1184870495 | Jami Ann Gruenloh | Physical Therapist | 201 S 10th St, Mascoutah, IL 62258-1736 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376683193 | Randy A Parmlee | Dentist | 104 E Main, Mascoutah, IL 62258 | 2007-02-08 |
| 1639263585 | Jessi Weber | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-10-03 |
| 1750334587 | Lisa Woodrome | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-05-19 |
| 1114970688 | Evers Pharmacy Inc | Pharmacy | 16 E Main St, Mascoutah, IL 62258 | 2006-05-18 |
| 1528011277 | Heidi Calvert | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-05-17 |
| 1366431447 | Grange Nursing Home | Skilled Nursing Facility | 901 N 10th St, Mascoutah, IL 62258-1017 | 2005-10-20 |
| 1184266090 | Aperion Care Mascoutah LLC | Durable Medical Equipment & Medical Supplies | 901 N 10th St, Mascoutah, IL 62258-1017 | 2019-10-11 |
| 1013431824 | Aperion Care Mascoutah LLC | Durable Medical Equipment & Medical Supplies | 901 N 10th St, Mascoutah, IL 62258-1017 | 2017-08-02 |
| 1386925535 | Terrace On The Park, LLC | Skilled Nursing Facility | 901 N 10th St, Mascoutah, IL 62258-1017 | 2011-09-01 |
| 1881844504 | Jana Ann Rapp | Occupational Therapist | 901 N 10th St, Mascoutah, IL 62258-1017 | 2008-09-30 |
| Find all providers in zip 62258 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431447 | Grange Nursing Home | Skilled Nursing Facility | 901 N 10th St, Mascoutah, IL 62258-1017 | 2005-10-20 |
| 1386925535 | Terrace On The Park, LLC | Skilled Nursing Facility | 901 N 10th St, Mascoutah, IL 62258-1017 | 2011-09-01 |
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| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
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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.