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COUNTRY CARE INC NPI 1003001033

NPI Profile

NPI: 1003001033
Provider Name: COUNTRY CARE INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3980 E CASSIE LANE
COTTONWOOD, AZ
ZIP 86326
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Phone: (928) 649-0434

COUNTRY CARE INC is a healthcare provider in Cottonwood, AZ.The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COUNTRY CARE INC NPI is 1003001033. The provider is registered as an organization entity type.

The provider's business location address is:

3980 E CASSIE LANE
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 649-0434
Fax: (928) 649-0238

The provider's authorized official is Michael Thomas Harris .
The authorized official title is President and has the following contact phone number (928) 274-0702.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 9/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityALH4144ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/9/2018

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.