Organization Active NPI

Community Care Center of Lemay, Inc

Doing business as Community Care Center of Lemay

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1508862533
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
032878 Issued in MO
Legal business name
COMMUNITY CARE CENTER OF LEMAY, INC
Doing business as
Community Care Center of Lemay
Practice address
9353 S Broadway
Saint Louis, MO 63125-1600
Phone
(314) 631-0540
Fax
(314) 631-5056
NPI assigned
Jun 23, 2005
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 032878 MO Primary

Addresses

Primary practice location

9353 S Broadway
Saint Louis, MO 63125-1600

Mailing address

437 Sovereign CT
Ballwin, MO 63011-4432
Phone (636) 394-3000

Other identifiers 1

IdentifierTypeStateIssuer
103059309MedicaidMO

Other names 1

  • Community Care Center of Lemay Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1508862533",
    "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": "9353 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631251600",
            "telephone_number": "314-631-0540",
            "fax_number": "314-631-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF LEMAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "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": "MO",
            "license": "032878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103059309",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Center of Lemay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Care Center of Lemay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • 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.