Active NPI
West County Care Center, Inc.
- Skilled Nursing Facility
- Ballwin, MO
National Provider Identifier
1669478665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 031597
- Legal business name
- WEST COUNTY CARE CENTER, INC.
- Practice address
- 312 Solley Dr
Ballwin, MO 63021-5248 - Phone
- (636) 391-0666
- Fax
- (636) 391-0622
- NPI assigned
- Jun 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Giardina
- Title
- President
- Phone
- (636) 394-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 031597 | MO | Primary |
Addresses
Primary practice location
312 Solley Dr
Ballwin, MO 63021-5248
Mailing address
312 Solley Dr
Ballwin, MO 63021-5248
Phone (636) 391-0666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101490407 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI 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": "1344902400000",
"number": "1669478665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 SOLLEY DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630215248",
"telephone_number": "636-391-0666",
"fax_number": "636-391-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 SOLLEY DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630215248",
"telephone_number": "636-391-0666",
"fax_number": "636-391-0622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COUNTY CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-23",
"last_updated": "2012-08-14",
"status": "A",
"authorized_official_last_name": "GIARDINA",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "636-394-3000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "031597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101490407",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.