Community Care Center of Monmouth, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0027979 Issued in IL

Legal business name

COMMUNITY CARE CENTER OF MONMOUTH, INC

Doing business as

Monmouth Nursing Home

Practice address

117 S I St
Monmouth, IL 61462-1544

Phone

(309) 734-3811

NPI assigned

Jun 23, 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

• Monmouth Nursing Home Doing business as

Locations

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": "1720084759",
    "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": "117 S I ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621544",
            "telephone_number": "309-734-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF MONMOUTH, 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": "IL",
            "license": "0027979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monmouth Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monmouth Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Chard
• Child & Family Connections #13
• City of Monmouth
• Alison Ilene Clark
• Rebecca Jo Colston, APN
• Community Medical Center of Western Il Inc
• Community Medical Center of Western Il Inc
• Community Medical Center of Western Il Inc
• Community Medical Center of Western Il Inc
• Community Medical Center of Western Il Inc

• Skilled Nursing Facility in Monmouth, IL
• Providers in Monmouth, 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 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.