| Organization Name: | COMMUNITY CARE CENTERS, INC. |
| NPI Number: | 1225035702 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES GIARDINA (PRESIDENT) |
| Mailing Address: | 312 Solley Dr Rear Ballwin |
| State: | MO US |
| Postal Code: | 630215248 |
| Phone Number: | 6363943000 |
| Fax Number: | 6363947713 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | 0231250001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |