Active NPI
Barry Community Care Center, Inc
- Skilled Nursing Facility
- Barry, IL
National Provider Identifier
1902803463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0017590
- Legal business name
- BARRY COMMUNITY CARE CENTER, INC
- Practice address
- 1313 Pratt St
Barry, IL 62312-1365 - Phone
- (636) 394-3000
- Fax
- (636) 394-7713
- NPI assigned
- Jun 30, 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
- Christina M Giardina
- Title
- President
- Phone
- (636) 394-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0017590 | IL | Primary |
Addresses
Primary practice location
1313 Pratt St
Barry, IL 62312-1365
Mailing address
437 Sovereign CT
Ballwin, MO 63011-4432
Phone (636) 394-3000
National Provider Directory
National Provider DirectoryNPI Registry JSON
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": "1902803463",
"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": "1313 PRATT ST",
"city": "BARRY",
"state": "IL",
"postal_code": "623121365",
"telephone_number": "636-394-3000",
"fax_number": "636-394-7713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRY COMMUNITY CARE CENTER, 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": "IL",
"license": "0017590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barry, IL
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.