Ccic Llc is a Skilled Nursing Facility in Easton, Kansas. Ccic Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ccic Llc is 1881682490. The last update date is 2020-08-22.
Ccic Llc's current location address is 20379 Edwards Dr, Easton, Kansas. You can contact this provider via phone number 9136800306. The mailing address for Ccic Llc is 20379 Edwards Dr, Easton, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ccic Llc |
|---|---|
| Address | 20379 Edwards Dr, Easton, Kansas |
| Phone Number | 9136800306 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | O'Donnell K Tamara |
| Credentials | ACHA, MBA |
| Telephone Number | 9136800306 |
NPI Number Detail
| NPI Number | 1881682490 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 20379 Edwards Dr |
|---|---|
| City | Easton |
| State | Kansas (KS) |
| Post Code | 660208067 |
| Phone Number | 9136800306 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | N052004 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1041039901 | KS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ccic Llc by the Centers for Medicare & Medicaid Services?
The Ccic Llc has been issued the NPI (National Provider Identifier) 1881682490. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ccic Llc?
The Ccic Llc is physically situated at 20379 Edwards Dr, in the city of Easton, state of KS, with the postal code 660208067.
What is Ccic Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ccic Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date was the 1881682490 assigned to Ccic Llc?
The Ccic Llc was issued its 1881682490 on 2005-10-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ccic Llc most recently updated or refreshed?
The details pertaining to the Ccic Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.