COUNTRY ROAD OPERATIONS LLC
NPI 1073109112
Substance Abuse Rehabilitation Facility in Tecumseh, OK

Active since December 14, 2020CLIA 37D2093226 · Waiver
24962 OKAY RD, TECUMSEH, OK 74873(405) 253-2020 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Road Operations Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY ROAD OPERATIONS LLC (NPI 1073109112), doing business as Avenues Of Oklahoma, is a healthcare organization registered as a substance abuse rehabilitation facility in Tecumseh, Oklahoma and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Daniel Mandelbaum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073109112
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCOUNTRY ROAD OPERATIONS LLC
Location Address24962 OKAY RDTecumseh, OK 74873-6504
Mailing Address24962 Okay RdTecumseh, OK 74873-6504 · (405) 253-2020
Organization SubpartNo
Authorized OfficialDaniel MandelbaumCeo · (718) 570-6018
Enumeration DateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
NPI 1073109112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
24962 OKAY RD, Tecumseh, OK 74873

Other Names 1

Former Legal Business NameAvenues Of Oklahoma

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2093226

Country Road Operations · Tecumseh, OK
Active · expires Mar 23, 2027
CLIA Number37D2093226
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorChristopher Snyder
Laboratory Phone(405) 253-2020
Laboratory LocationCountry Road Operations24962 Okay Rd, Tecumseh, OK 74873
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
OKLAHOMA CITY, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Substance Abuse Rehabilitation Facility
24962 OKAY RD
TECUMSEH, OK 74873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Road Operations LLC's NPI number?

The NPI number for Country Road Operations LLC is 1073109112. It was assigned to this organization in the NPPES registry on December 14, 2020. The provider was formerly known as Avenues of Oklahoma.

Where is Country Road Operations LLC located?

Country Road Operations LLC is located at 24962 Okay Rd, Tecumseh, OK 74873. The listed phone number is (405) 253-2020.

What is Country Road Operations LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Country Road Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2093226) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Country Road Operations LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Country Road Operations LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Country Road Operations LLC was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.