Provider Demographics
NPI:1386701076
Name:COMMUNITY CARE, INC
Entity type:Organization
Organization Name:COMMUNITY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CDM OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMERA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-455-3522
Mailing Address - Street 1:310 STRAND ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:KS
Mailing Address - Zip Code:66937-9629
Mailing Address - Country:US
Mailing Address - Phone:785-455-3522
Mailing Address - Fax:785-455-3692
Practice Address - Street 1:310 STRAND ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:KS
Practice Address - Zip Code:66937-9629
Practice Address - Country:US
Practice Address - Phone:785-455-3522
Practice Address - Fax:785-455-3692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN014002313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100110770AMedicaid
KS17-5535Medicare UPIN