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NPI Code Detail

MEDICARE: COMMUNITY CARE CENTER OF AURORA, INC

MEDICARE: COMMUNITY CARE CENTER OF AURORA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility033521MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043217508
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY CARE CENTER OF AURORA, INC
Provider Business Mailing Address
First Line : 437 SOVEREIGN CT REAR
Second Line :
City : BALLWIN
State : MO
Zip : 63011-4432
Country : US
Telephone Number : 636-394-3000
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S HUDSON AVE
Second Line :
City : AURORA
State : MO
Zip : 65605-2717
Country : US
Telephone Number : 417-678-2165
Fax Number : 417-678-2164
Authorized Official
Title or Position : PRESIDENT
Name : CHRISTINA M GIARDINA
Credential :
Telephone Number : 636-394-3000
Provider Enumeration Date : 06/30/2005
Last Update Date : 03/04/2021

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Directions to “COMMUNITY CARE CENTER OF AURORA, INC ” Practice Location

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