Community Care Center of Mascoutah, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0031740 Issued in IL

Legal business name

COMMUNITY CARE CENTER OF MASCOUTAH, INC.

Doing business as

Mar-Ka Nursing Home

Practice address

201 S 10TH St
Mascoutah, IL 62258-1736

Phone

(618) 566-8000

Fax

(618) 566-2884

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

Christina M Giardina

Title

President

Phone

(636) 394-3000

Specialties & licenses 1

Addresses

Other names 1

• Mar-Ka Nursing Home Doing business as

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1437156965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 SOVEREIGN CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114432",
            "telephone_number": "636-394-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 10TH ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581736",
            "telephone_number": "618-566-8000",
            "fax_number": "618-566-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF MASCOUTAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-394-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0031740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mar-Ka Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mar-Ka Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bertha Denise Clark, CFLE
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• Allyson Corry
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• Richard A Curry, HEARING SPECIALIST
• Nancy Dawson

• Skilled Nursing Facility in Mascoutah, IL
• Providers in Mascoutah, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.