BARRY COMMUNITY CARE CENTER, INC (NPI# 1902803463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902803463 |
| Entity Type | Organization |
| Organization Name | BARRY COMMUNITY CARE CENTER, INC |
| Practice Address |
1313 Pratt St Barry IL 62312-1365 |
| Mailing 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 | 2008-05-14 |
| 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 | 0017590 | IL | Nursing & Custodial Care Facilities |
| Street Address |
1313 PRATT ST |
| City | BARRY |
| State | IL |
| Zip Code | 62312-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706486 | Alyssa Garde | Occupational Therapist | 1313 Pratt St, Barry, IL 62312-1365 | 2019-12-10 |
| 1124589981 | William J Vaughn | Occupational Therapy Assistant | 1313 Pratt St, Barry, IL 62312-1365 | 2019-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627395 | Impact Medical Transport | Non-emergency Medical Transport (VAN) | 915 Il-106, Barry, IL 62312 | 2020-07-23 |
| 1982114708 | Spot Providers | Speech-Language Pathologist | 6 Orchard Dr, Barry, IL 62312 | 2017-10-06 |
| 1548462005 | Barry Comm Unit School Dist 1 | Local Education Agency (LEA) | 401 Mcdonough St, Barry, IL 62312-1031 | 2007-06-05 |
| 1104095199 | Western Comm Unit Sch Dist 12 | Local Education Agency (LEA) | 401 Mcdonough St, Barry, IL 62312-1031 | 2008-02-25 |
| 1679892293 | Christine Ann Nation | Speech-Language Pathologist | 200 Mcdonough St, Barry, IL 62312-1065 | 2010-05-21 |
| 1437759701 | Dianna Michelle Castleberry | Peer Specialist | 1166 Mason St, Barry, IL 62312-1137 | 2020-10-27 |
| 1700278934 | Pharmacy Plus, Inc | Pharmacy | 693 Bainbridge St, Barry, IL 62312-1203 | 2015-02-25 |
| 1124009329 | Stephen T Liesen | Dentist | 750 Mortimer St, Barry, IL 62312-1247 | 2005-11-07 |
| 1447597950 | Brett R Schafer | Dentist | 750 Mortimer St, Barry, IL 62312-1247 | 2013-01-04 |
| 1174794028 | Barry Dental Clinic | Dentist | 750 Mortimer St, Barry, IL 62312-1247 | 2008-03-19 |
| Find all providers in zip 62312 | ||||
| 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. |
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| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 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.