Community Care Ctr Of Sullivan, Inc in Ballwin - Skilled Nursing Facility
Community Care Ctr Of Sullivan, Inc - NPI 1063419505
Community Care Ctr Of Sullivan, Inc is a Skilled Nursing Facility in Ballwin, Missouri. Community Care Ctr Of Sullivan, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Community Care Ctr Of Sullivan, Inc is 1063419505. The last update date is 2021-03-04.
Community Care Ctr Of Sullivan, Inc's current location address is 437 Sovereign Ct, Ballwin, Missouri. You can contact this provider via phone number 6363943000. The mailing address for Community Care Ctr Of Sullivan, Inc is 437 Sovereign Ct, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Care Ctr Of Sullivan, Inc |
|---|---|
| Address | 437 Sovereign Ct, Ballwin, Missouri |
| Phone Number | 6363943000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Giardina M Christina |
| Telephone Number | 6363943000 |
NPI Number Detail
| NPI Number | 1063419505 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2021-03-04 |
Provider Mailing Address Detail
| Address | 437 Sovereign Ct |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630114432 |
| Phone Number | 6363943000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 33721 |
|
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 |
|---|---|---|---|
| 106830706 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Community Care Ctr Of Sullivan, Inc?
The Community Care Ctr Of Sullivan, Inc has been issued the NPI (National Provider Identifier) 1063419505 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Community Care Ctr Of Sullivan, Inc's facilities are geographically located?
The facilities of Community Care Ctr Of Sullivan, Inc are physically situated at the following location: 437 Sovereign Ct, Ballwin, MO, 630114432.
What is the Community Care Ctr Of Sullivan, Inc's specialty and taxonomy code?
The Community Care Ctr Of Sullivan, Inc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
When did Community Care Ctr Of Sullivan, Inc receive its 1063419505 assignment?
The Community Care Ctr Of Sullivan, Inc was assigned its 1063419505 on 2005-06-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Community Care Ctr Of Sullivan, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Community Care Ctr Of Sullivan, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-04.
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