Community Care Center of Seneca, Inc.
Organization Active NPI Skilled Nursing Facility · Seneca, MO
NPI 1619974151 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1619974151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 033787 (MO)
- Legal business name
- COMMUNITY CARE CENTER OF SENECA, INC.
- Practice address
- 914 Chickesaw St
Seneca, MO 64865-9281 - Phone
- (417) 776-8041
- Fax
- (417) 776-3351
- NPI assigned
- Jun 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Christina M Giardina
- Title
- President
- Phone
- (636) 394-3000
National Provider Directory
Locations
437 Sovereign Ct
Ballwin, MO 63011
914 Chickesaw St
Seneca, MO 64865
Phone (417) 776-3351
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 033787 | MO | Yes |
Addresses
Primary practice location
914 Chickesaw St
Seneca, MO 64865-9281
Mailing address
437 Sovereign CT
Ballwin, MO 63011-4432
Phone (636) 394-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103280905 | Medicaid | MO |
Other names
- Seneca House
Other providers in Seneca, MO
- Bel Oak of Seneca, LLC
- Alan Holbrook Berry
- Stephanie Jeanene Brill
- Sara Ashley Bryant
- Danielle Burwell
- Community Residence, Inc.
- D & W Consulting, L.L.C.
- James Davis
- Ronald Edward Deweese
- Frank Eitemiller
All providers in Seneca, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.