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Community Care Center Of Licking Inc
Skilled Nursing Facility in Licking, Missouri
NPI 1609996222

Community Care Center Of Licking Inc is a Skilled Nursing Facility based in Ballwin, MO. Community Care Center Of Licking Inc practices in Licking, MO. The NPI Number for Community Care Center Of Licking Inc is 1609996222 and holds a License No. 035084 (Missouri).

The current practice location address for Community Care Center Of Licking Inc is 209 Hickory St, Licking, MO and can be reached out via phone at 573-674-2111.

Location: 209 Hickory St, Licking, MO, 63021-5248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609996222
Provider Name
Community Care Center Of Licking Inc
Credential
Provider Entity Type
Organization
Address
209 Hickory St, Licking, MO, 63021-5248
Phone Number
573-674-2111
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
101496800 05 MO
institution
Provider Business Practice Location Address Details
Address
209 Hickory St
City
Licking
State
Missouri
Zip
65542-9847
Phone Number
573-674-2111
Fax Number
person
Provider Business Mailing Address Details
Address
209 Hickory St
City
Licking
State
Missouri
Zip
65542-9847
Phone Number
573-674-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
035084 (Missouri)
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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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