Community Care Centers, Inc.

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

License

0231250001 Issued in MO

Legal business name

COMMUNITY CARE CENTERS, INC.

Practice address

312 Solley Dr
Rear
Ballwin, MO 63021-5248

Phone

(636) 394-3000

Fax

(636) 394-7713

NPI assigned

Jun 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Giardina

Title

President

Phone

(636) 394-3000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225035702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SOLLEY DR",
            "address_2": "REAR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215248",
            "telephone_number": "636-394-3000",
            "fax_number": "636-394-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SOLLEY DR",
            "address_2": "REAR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215248",
            "telephone_number": "636-394-3000",
            "fax_number": "636-394-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-394-3000"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "MO",
            "license": "0231250001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew P. Cline, DDS
• Anne Cochran, PT
• Spencer Thomas Collins, PTA
• William G Collins, PH.D.
• Sarah Edwards Colwick, M.D.
• Community in-Home Services
• Laurie Conlon, RN
• Margaret M Connelly
• Evan Coonrod
• Cordray Counseling, LLC

• Nursing Facility Supplies (DME) in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Nursing Facility Supplies (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.