COUNTRY CARE INC NPI 1003001033

Assisted Living Facility

COUNTRY CARE INC

Country Care Inc is a assisted living facility in Cottonwood, AZ. Country Care Inc NPI is 1003001033. The provider's taxonomy code is 310400000X - Assisted Living Facility. 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.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003001033
Provider Name: COUNTRY CARE INC
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 09-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 09-12-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Authorized Official Name: MR. MICHAEL THOMAS HARRIS Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: PRESIDENT
Authorized Official Phone: (928) 274-0702


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1310400000X Additional informationCallout TooltipTaxonomy Code - 310400000X
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.
Nursing & Custodial Care FacilitiesAssisted Living FacilityALH4144AZYes

Map Location


COUNTRY CARE INC address is 3980 E CASSIE LANE COTTONWOOD, AZ 86326 Get Directions