Community Care Center of Gainesville, Inc
Organization Active NPI Skilled Nursing Facility · Gainesville, MO
NPI 1043214786 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1043214786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 032986 (MO)
- Legal business name
- COMMUNITY CARE CENTER OF GAINESVILLE, INC
- Practice address
- 77 Medical Drive
Gainesville, MO 65655-0628 - Phone
- (417) 679-4921
- Fax
- (417) 679-4211
- NPI assigned
- Jun 10, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Christina M Giardina
- Title
- President
- Phone
- (636) 394-3000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 032986 | MO | Yes |
Addresses
Primary practice location
77 Medical Drive
Gainesville, MO 65655-0628
Mailing address
437 Sovereign CT
Ballwin, MO 63011-4432
Phone (636) 394-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102360005 | Medicaid | MO |
Other names
- Gainesville Health Care Center
Other providers in Gainesville, MO
- Connie Lynn Barker
- Bel Oak of Gainesville, LLC
- Chris V Geroff DDS PC
- Clear View Consulting and Behavioral Health
- Tamara Dees
- Douglas County Public Health Services Group, Inc.
- Douglas County Public Health Services Group, Inc.
- Callie Coppedge Emmart
- Firstcall Family Healthcare
All providers in Gainesville, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.