Community Care Center of Seneca, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

033787 Issued in MO

Legal business name

COMMUNITY CARE CENTER OF SENECA, INC.

Doing business as

Seneca House

Practice address

914 Chickesaw St
Seneca, MO 64865-9281

Phone

(417) 776-8041

Fax

(417) 776-3351

NPI assigned

Jun 30, 2005

Last updated

Mar 4, 2021By 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

Christina M Giardina

Title

President

Phone

(636) 394-3000

Specialties & licenses 1

Addresses

Other names 1

• Seneca House 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": "1619974151",
    "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": "914 CHICKESAW ST",
            "city": "SENECA",
            "state": "MO",
            "postal_code": "648659281",
            "telephone_number": "417-776-8041",
            "fax_number": "417-776-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF SENECA, 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": "MO",
            "license": "033787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seneca House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seneca House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bel Oak of Seneca, LLC
• Alan Holbrook Berry, DDS
• Stephanie Jeanene Brill, MA, SLP-A
• Sara Ashley Bryant
• Danielle Burwell, RDN, LD
• Community Residence, Inc. (Seneca Home Place)
• D & W Consulting, L.L.C.
• James Davis, PHARM.D
• Ronald Edward Deweese
• Frank Eitemiller, PT

• Skilled Nursing Facility in Seneca, MO
• Providers in Seneca, MO by specialty
• Skilled Nursing Facility in Missouri

• 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.