Community Care Center of Licking Inc
NPI 1609996222 · Skilled Nursing Facility · Licking, MO
Community Care Center of Licking Inc is a Skilled Nursing Facility organization in Licking, MO (NPI 1609996222).
Provider details
- NPI number
- 1609996222
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- James Giardina, President(636) 394-3000
- License
- 035084 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Licking Park Manor
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2008-01-10
Frequently asked questions
- What is Community Care Center of Licking Inc's NPI number?
- Community Care Center of Licking Inc's National Provider Identifier (NPI) is 1609996222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Care Center of Licking Inc?
- Community Care Center of Licking Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Community Care Center of Licking Inc located?
- Community Care Center of Licking Inc's practice location on file with NPPES is 209 Hickory St, Licking, MO 65542-9847.
- What is Community Care Center of Licking Inc's phone number?
- The practice phone number listed in the NPPES registry for Community Care Center of Licking Inc is (573) 674-2111.
- Who is the authorized official for Community Care Center of Licking Inc?
- The authorized official listed on Community Care Center of Licking Inc's NPPES record is James Giardina, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Care Center of Licking Inc's NPI active?
- Yes — Community Care Center of Licking Inc's NPI (1609996222) is active in the NPPES registry as of the last update on 2008-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.