Community Care, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

N014002 Issued in KS

Legal business name

COMMUNITY CARE, INC

Practice address

310 Strand St
Clifton, KS 66937-9629

Phone

(785) 455-3522

Fax

(785) 455-3692

NPI assigned

Jan 2, 2007

Last updated

Jul 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamera K Barnes

Title

CDM Office Manager

Phone

(785) 455-3522

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1386701076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STRAND ST",
            "city": "CLIFTON",
            "state": "KS",
            "postal_code": "669379629",
            "telephone_number": "785-455-3522",
            "fax_number": "785-455-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STRAND ST",
            "city": "CLIFTON",
            "state": "KS",
            "postal_code": "669379629",
            "telephone_number": "785-455-3522",
            "fax_number": "785-455-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CDM OFFICE MANAGER",
        "authorized_official_telephone_number": "785-455-3522"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "N014002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110770A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Clifton, KS
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• Nursing Facility/Intermediate Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.