Choice Community Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1010231 Issued in IL

Legal business name

CHOICE COMMUNITY CARE, INC.

Practice address

519 Washington PL
1St Floor
East Saint Louis, IL 62205-2039

Phone

(618) 271-7500

Fax

(618) 271-7544

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Miss Loys Jean Moore

Title

Administrator

Phone

(618) 271-7500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487779195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 WASHINGTON PL",
            "address_2": "1ST FLOOR",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052039",
            "telephone_number": "618-271-7500",
            "fax_number": "618-271-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 WASHINGTON PL",
            "address_2": "1ST FLOOR",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052039",
            "telephone_number": "618-271-7500",
            "fax_number": "618-271-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE COMMUNITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LOYS",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-271-7500",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1010231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Chance, RN, AE-C
• Jennifer Childerson, MSW
• Children'S Center for Behavioral Development
• Children'S Home and Aid
• Childrens Home & Aid Soc of Il
• Alicia Michelle Collier
• Laura A. Collier, CNP
• Sandra M Collier, MSW, LCSW
• Bernice Laverne Collins, PH.D.
• Comprehensive Behavioral Health Center

• Skilled Nursing Facility in East Saint Louis, IL
• Providers in East Saint Louis, 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 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.