COUNTRY OAK VILLAGE NPI 1528211703

NPI Information

  • NPI: 1528211703
  • Provider Name: COUNTRY OAK VILLAGE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 26D2132743
  • Address: 101 CROSS CREEK DR
    GRAIN VALLEY, MO
    ZIP 64029
  • Phone: (816) 224-2700

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NPI Details

COUNTRY OAK VILLAGE is an assisted living facility in Grain Valley, MO. 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 OAK VILLAGE NPI is 1528211703. The provider is registered as an organization entity type.

The provider's business location address is:

101 CROSS CREEK DR
GRAIN VALLEY, MO
ZIP 64029-561
Phone: (816) 224-2700
Fax: (816) 224-3335

The provider's authorized official is Jennifer E Hamblin .
The authorized official title is Administrator and has the following contact phone number (816) 224-2700.

The CLIA number assigned to this NPI record is 26D2132743 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2008 and was last updated on 10/31/2008.

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 Facility034569MISSOURIYes

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: 3/30/2025

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